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41110 <br /> ELECTRICAL PERMIT APPLICAITON <br /> CITY O1-EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE I I,,INA 98201 <br /> (P) 425-25.7-8810 ,I FAX 425-257-8857 1 (E)everetteps@everottwa.gov wwweverettwagav/permits <br /> PROJECT SITE INFORMATION <br /> _ <br /> PROJECT ADDRESS: 1700 13th Street <br /> BUILDING AREA(if residential,new construction,remodel,or addition) .__SF <br /> BUILDING TYPE: 0 SFR-DETACHED '©SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY #OF UNITS:_ is COMMERCIAL <br /> USE OF BUILDING: Medical Center-. t M <br /> fctor pre() 10-019 <br /> TRICAL APPLICATION ON I F aATI©N �. <br /> CONTRACT PRICE OF WORK:$ 875.00 <br /> NUMBER OF DEVICES(if low volt ge): 2 <br /> FIRE ALARM? D YES VI <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Job#$31154-Installation of DDC Controls-(2) New Terminal Unitsw/field mounted Controllers <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(if Commercial): Providence Medical Center Everett': <br /> OWNER MAILING ADDRESS: STREET <br /> STATE sic <br /> OWNER PHONE: ,OWNER EMAIL: <br /> CONTRACTOR NAME: EC Company <br /> CONTRACTOR ADDRESS: STREET 6412 South 196th Street <br /> env Kent STATE WA <br /> 98032 <br /> CONTRACTOR PHONE: 253-436-6000 CONTRACTOR EMAIL: SUSanw@e-C-CO.com <br /> CONTRACTOR L1C.#(REQUIRED): ECCOM**1488A CITY OF EVERETT BUSINESS LIC.#(RLQUIRED): <br /> PRIMARY CONTACT: ❑OWNER Q CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-436.6003 <br /> Susan Walsh CONTACT EMAIL`susanw@e-c--co.CotI7 <br /> AGREEMENT f hereby certify that I have read and examined this application and know the same to he true and craned AY provisions of laws and Ordinances o verninq dos type <br /> of work w:k be completed whether speciheo herein or not The granting of a permrt does nor presume to give ainhonty to violate or cancel the piovis.ars of any other stele ur <br /> local law regulating construction or Me performance of c¢nstrucfian. That P am aulhprrzed cy the owner of this property to perform the work for which.applcatton is made and <br /> comply with the State Contractors Law t5 V RCM/and 216 200 WAG. <br /> City ot Everett Official Use Only <br /> PERMIT# <br /> (.12 <br /> 3 <br /> Owner/AuthoriaedAgent Signature Date (Revr.Seci9t 3/7016 <br /> so <br />