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OLT __ECTRICAL PERMIT AP. ._ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 I FAX 425-257-8857 I (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) 3,000 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ® COMMERCIAL <br /> USE OF BUILDING: Fluke Park Bpod /Office Space Remodel <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 42,950.00 <br /> NUMBER OF DEVICES (if low voltage): 172 <br /> FIRE ALARM? 0 YES IN NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: Install data cabling to 172 location for the Fluke Park Bpod Remodeling project. <br /> CONTACT INFORMATION <br /> OWNER NAME: Fluke Corporation TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 6920 Seaway Blvd <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Milne Electric <br /> CONTRACTOR ADDRESS: STREET 14282 172nd Street SE <br /> CITY Monroe STATE WA ZIP 98272 <br /> CONTRACTOR PHONE: (360) 863-9617 CONTRACTOR EMAIL: George.hatland@milneelectric.com <br /> CONTRACTOR LIC.#(REQUIRED): MILNEEI101 PN CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 031702 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR I:1 OTHER(Please Specify) Elton Ngo (425)496-4151 <br /> CONTACT NAME: I CONTACT PHONE: (425) 308-7405 <br /> George Hatland CONTACT EMAIL: george.hatland@milneelectric.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 /> 2l1 /zCE1 E <br /> Owner/Au rized Agent Signature Date (Revised 10/12/2015) <br />