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• 0 <br /> ELECTRICAL 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 ; (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECTADDRESS: 906 Everett Mall Way Suite 130, Everett , Wa <br /> BUILDING AREA(if residential,new construction, remodel,or addition) 14 4 O SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> USE OF BUILDING: Commerical <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 2500 . 00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE,ALARM? ❑YES CF NO <br /> ASSOCIATED BUILDING PERMIT# if applicable : <br /> DESCRIPTION OF WORK: (2) new lights for server room, new server room outlets, new <br /> and relocated outlets in breakroom <br /> CONTACT INFORMATION <br /> OWNER NAME: Colliers TENANT NAME(If Commercial): Lochner <br /> OWNER MAILING ADDRESS: STREET 6500 Harbour Heights Parkway, Suite107 <br /> CITY Mukilteo STATE WA ZIP 98275 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Mastercraft Electric <br /> CONTRACTOR ADDRESS: STREET 206 Frontage Rd N, Suite A2 <br /> cITV Pacific STATE WA ZIP 98047 <br /> CONTRACTOR PHONE: 253-737-4367 CONTRACTOR EMAIL: robbieb@mastercraftinc . com <br /> CONTRACTOR LIC.#(REQUIRED): MAS TEE 112 7 B 8 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 0 5'5 7 0 4 <br /> PRIMARY CONTACT: ❑ OWNER 11CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 253-737-4367 <br /> Robbie Burrill CONTACTEMAIL: robb-Leb@mastercraftinc . 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 /> PERMIT# <br /> f <br /> /z6 E ��C( -2� <br /> Owner/A orized nt Signature ate (Revised 10/12/2015) <br />