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OETT 'LECTRICAL PERMIT / 'LIGATION <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 www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 2916 State Street, Everett,Wa. 98201 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) 1600 SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ® COMMERCIAL <br /> USE OF BUILDING: Mixed/Agriculture <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $5000.00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES ® NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: The installation of one 50kw transformer,two sub panels and corresponding circuits in unit 202 <br /> CONTACT INFORMATION <br /> OWNER NAME: Mark Reichlin TENANT NAME(If Commercial): Grandma's Garden LLC <br /> OWNER MAILING ADDRESS:2916 STREET State Street <br /> CITY Everett STATE Wa ZIP 9820 <br /> OWNER PHONE:206.510.2548 OWNER EMAIL: markr@wes-construction.com <br /> CONTRACTOR NAME: Chapman Electric <br /> CONTRACTOR ADDRESS: 14955 STREET 430th Ave S.E. <br /> CITY North Bend STATE Wa ZIP 98045 <br /> CONTRACTOR PHONE: 425.890.3367 CONTRACTOR EMAIL: CJ@Chapmanelectricnw.corn <br /> CONTRACTOR LIC.#(REQUIRED): CHAPME*946NW CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER ® CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.890.3367 <br /> C.J. Chapman <br /> CONTACT EMAIL: CJ@Chapmanelectricnw.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 /> C e111111 aL� E <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />