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W <br />(P) 425-257-8810 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br />PROJECT SITE INFORMATION <br />PROJECT ADDRESS: 8925 AIRPORT RD, EVERETT, WA 98204 <br />BUILDING AREA (if residential, new construction, remodel, or addition)-__ SF <br />BUILDING TYPE: C3 SFR -DETACHED 11 SFR ATTACHED 13 DUPLEX 0 MULTI -FAMILY - # OF <br />OF BUILDING: <br />ELECTRICAL "PLICATION INFORMATION <br />'ON <br />TRACT PRICE OF WORK: $ 600.00 <br />IUMBER OF DEVICES (if low voltage): <br />IRE ALARM? 0 YES 0 NO <br />0 COMMERCIAL <br />ASSOCIATED BUILDING PERMIT #pplicable, <br />DESCRIPTION OF WORK: REPAIR POWER TO A PANEL, INSTALL A NEW DISCONNECT, NEW FUSES AND WIRE. <br />CONTACT INFORMATION <br />'OWNER NAME: MUKILTEO SCHOOL DISTRICT <br />TENANT NAME (if Commercial). SAME <br />OWNER MAILING ADDRESS: STREET 8925 AIRPORT RD <br />c,, EVERETT STATE WA Zip 98204 <br />OWNER PHONE: 425.385.4000 <br />(OWNER EMAIL: <br />CONTRACTOR NAME: VECA ELECTRIC CO., INC. <br />CONTRACTOR ADDRESS: STREET 5614 7TH AVE S <br />—c,T, SEATTLE STATE WA ZIP 98108 <br />CONTRACTOR PHONE: 206.436.5200 CONTRACTOR EMAIL: <br />CONTRACTOR LIC. #(REQUIRED): VECAECI-542-MU ICITY OF EVERETT BUSINESS LIC. #(REQUIRE 004945 <br />PRIMARY CONTACT: El OWNER CONTRACTOR E] OTHER (Please Specify) <br />CONTACT NAME: ICONTACT PHONE: 206.379.8257 <br />-Jesse Chapman (CONTACT EMAIL: jesse.chapman@veca.com <br />AGREEMENT I hereby certify that/ have read and examined this application and know the same to be true and correct. All provisions of laws and - ordinances I I I governing this type <br />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 />- q xq <br />Owne 41Auth ized Agen_t_S:i:g1_n�ature - Date <br />City of Everett Official Use Only <br />PERMIT <br />(Revised 912312016) <br />