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ELECTRICAL PERMIT APPLICATION <br /> 4111āœ“, , , 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( www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:6920 SEAWAY BLVD <br /> BUILDING AREA(r residential,new construction,remodel,or addition)1 Q,000 SF <br /> .BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS:_ _ 0 COMMERCIAL <br /> USE OF BUILDING: COMMERCIAL - FLUKE POD B - PHASE 2 <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 36,495 <br /> ,NUMBER OF DEVICES(if low voltage):6 <br /> FIRE ALARM? D YES El NO <br /> ASSOCIATED BUILDING PERMIT it(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(It Commercial): <br /> OWNER MAILING ADDRESS: STREET 6920 SEAWAY BLVD <br /> EVERETT STATE WA zw 98203 _ <br /> OWNER PHONE: OWNER EMAIL: <br /> cONTRACTOR NAME:EVERGREEN ELECTRICAL SYSTEMS <br /> CONTRACTOR ADDRESS: 6TREET 1900 W NICKERSON ST SUITE 116-9 <br /> CITY SEATTLE STATE WA /JP 98119 _ <br /> CONTRACTOR PHONE:425-773-0148 (CONTRACTOR EMAIL: oe@evergreeneleCtricalsystems.cam <br /> CONTRACTOR LIC.*(REQUIRED): EVERGES904CH ICITY OF EVERETT BUSINESS LIC.#(REQUIRED):55023 <br /> PRIMARY CONTACT: D OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-773-0418 <br /> OE GISEBURT CONTACT EMAIL:joe@everweenelectricalsystems.com <br /> AGREEMENT; hereby*edify this 1 haw read and ecarr+daed this application and know els samefo be trod and cared. All pew of Laws and on*iaices governing this type <br /> of wink wfM be cxly, wed a etlt&specified hstett or not The granting of a pont*does not presorts to pies audio*to violate or canoe the provisions of any other state or <br /> focal law regi construction or the mamma*of oonsSuctian. That 1 ant auMtorited by the owner of this property re mean the work fpr whirr finptiodtion a made and t <br /> win*with ins State Contrartoea Low 1027 RCW and 296.200 WAC. <br /> Oily of Everett Official Ude Only <br /> PERMIT if <br /> ā€˜.0 <br /> -z2,/ Ti E fl o(pā€” <br /> Aulhorlted Apert Sputum (Revised 01232016) <br /> Scanned by CamScanner <br />