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ELECTRICAL PERMIT APPLICATION <br /> A <br /> 1,, CITY OF EVERETT PERMIT SERVICES <br /> 1�' 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 /> PROJECT ADDRESS:6920 SEAWAY BLVD <br /> BUILDING AREA(if residential,new construction,remodel,or addition)10,000 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ®COMMERCIAL <br /> USE OF BUILDING: COMMERCIAL - FLUKE POD B - PHASE 1 <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 37,775 <br /> NUMBER OF DEVICES(if low voltage)44- 6 <br /> FIRE ALARM? EieYts (i<NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): B1705-060 <br /> DESCRIPTION OF WORK: REPLACE EXISTING LIGHTS WITH LED. ADD OCC SENSORS. <br /> DEMO WALL AND INSTALL NEW RECEPTACLES.WIRE OFFICE FURNITURE.WIRE SPEAKERS <br /> CONTACT INFORMATION <br /> OWNER NAME:FLUKE TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 6920 SEAWAY BLVD <br /> EVERE I I STATE WA zw 98203 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: EVERGREEN ELECTRICAL SYSTEMS <br /> CONTRACTOR ADDRESS: STREET 1900 W NICKERSON ST SUITE 116-9 <br /> „,.SEATTLE STATE WA • <br /> CONTRACTOR PHONE:4255-773-0148 CONTRACTOR EMAIL:Joe@evergreenelectricaisyst;• .com <br /> CONTRACTOR UC.S(REOUIRED): EVERGES904CH CITY OF EVERETT BUSINESS UC.#(RE.UIRED):55023 J <br /> PRIMARY CONTACT: O OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-773-0418 <br /> JOE GISEBURT CONTACT EMAIL: 0e@evergreenelectricalsystems.com <br /> AGREEMENT.I hereby oertily that I have read and examined this appkabon and know the same to be nue and correct AI pvtovr$iois of laws and ordinances governing this type <br /> of work wit 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 oilier state or <br /> local law regulating consinaction or the performance of cvnsnrxaon. That I am authorized by the owner of this property to perform the work for which application is made and t <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> E <br /> / tsed nature Data Revised 9/23/2016 <br /> owned Me+H Cit ( ) <br /> Scanned by CamScanner <br />