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%ECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECTADDRESS: 8925 Airport Rd Everett, WA 98204 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: NLCOMMERCIAL <br /> USEOFBUILDING: Maintenance Office <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ $54, 118 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES XNO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Provide electrical connections related to the modified HVAC <br /> system in the office areas of the building . <br /> CONTACT INFORMATION <br /> OWNERNAME: Mukilteo School District TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 8 925 Airport Road <br /> CITY Everett STATE W`n' ZIP 98204 <br /> OWNER PHONE: 425-356-1330 OWNER EMAIL: StefansonKl@mukilteo .wednet . edu <br /> CONTRACTORNAME: McKinstry Essention <br /> CONTRACTOR ADDRESS: STREET 5005 3rd Ave South <br /> CITY Seattle STATE WA ZIP 98134 <br /> CONTRACTOR PHONE: 206-832-8352 1 CONTRACTOR EMAIL: davero@mckinstry . com <br /> CONTRACTOR LIC.#(REQUIRED): MCKINEL874CL CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 052236 <br /> PRIMARY CONTACT: ❑ OWNER XCONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-832-8352 <br /> Dave Robinaugh CONTACT EMAIL: davero@mckinstry . com <br /> AGREEMENT.T hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this <br /> type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> ��. .), <br /> PERMIT# <br /> nerlAuthorized ent Signature Date (Revised 10/12/2015) <br />