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477 E =CTRICAL 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 1 (E) everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 1 0 2 0 0 19th Ave SE <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED 0 DUPLEX El MULTI-FAMILY-#OF UNITS: %COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 12 , 850 . 00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES XNO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): B1509-049 <br /> DESCRIPTION OF WORK: Install new 45kva transformer and 150A 120/208V <br /> Subpanel for new branch circuits rotisserie oven. <br /> CONTACT INFORMATION <br /> OWNER NAME: Cos tco Wholesale TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 999 Lake Drive <br /> CITY Issaquah STATE WA ZR 98027 <br /> OWNER PHONE: 425 31 3 8100 OWNER EMAIL: <br /> CONTRACTOR NAME: Trig Electric Service, Inc . <br /> CONTRACTOR ADDRESS: STREET 1 1 21 Rainier Ave <br /> CITY Seattle STATE WA ZIP 981 44 <br /> CONTRACTOR PHONE: 206 328 0555 CONTRACTOR EMAIL: jmullins@trigelectric . com <br /> CONTRACTOR LIC.#(REQUIRED): TR I GE S 1105 4 R 1 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 1 6 3 9 2 <br /> PRIMARY CONTACT: ❑ OWNER )CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206 328 0555 <br /> Jeff Mullins <br /> CONTACT EMAIL: jmullins@triaelectric . 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 /> E (00 - 0 � <br /> owner/AA t rized Agent Signature Date (Revised 10/12/2015) <br />