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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-881D � FAX 425-257-8857 � (E) everetteps@everettwa.gov� www.everettwa.gov/permits <br /> PROJECT SITE:INFORMATION <br /> PROJECTADDRESS: ZO9 EAST CASINO ROAD, EVERETT, WA 98208 <br /> BUILDING AREA(if residential,new construction,remodel,or addition)TENANT IMPROVEMENTSF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: m COMMERCIAL <br /> usE oF Bui��iNc: CHIROPRACTOR OFFICE <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 2,000 <br /> NUMBER OF DEVICES if low volta e : � <br /> FIRE ALARM? ❑YES �NO <br /> ASSOCIATED BUILDING PERMIT# if a licable : <br /> DESCRIPTION OF WORK: <br /> REMOVAI& INSTALLTION OF (1) LOW VOLTAGE THERMOSTAT. <br /> REMOVE&REPLACE(1)208-VOLT, 1-PHASE OUTDOOR DISCONNECT SWITCH ASSOCAITED WITH NEW ROOFTOP HVAC UNIT. <br /> REPLACEMENT OF (1) 125-VOLT, 1 RHASE OUTDOOR GFCI OUTLET. <br /> CONTACT INFORMATION <br /> owNeR NAnne: CASINO SQUARE EAST TENANT NAME(If Commercial): CHIROPRACTOR <br /> OWNER MAILING ADDRESS: srReer 7325 166TH AVE NE STE F-260 <br /> cin. REDMOND STATE WA ziP 98052 <br /> OWNER PHONE: OWNER EMAIL: <br /> coNTR,acTOR NaMe: MECHANICAL&CONTROL SERVICES <br /> coNTw�croR a��Ress: S�EET 6426 18TH STREET EAST <br /> ciT• FIFE srn� WA zia 24 <br /> CONTRACTOR PHONE: 253-926-9777 coNrw►cTOR ennai�: JOHNM@GROUPMCS.COM <br /> CONTRACTOR LIC.#(REQUIRED): MECHACSHHZ�E CITY OF EVERETT BUSINESS LIC.#(REGtUIRE ): <br /> PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 253-831-4446 <br /> JOHN MERRILL CONTACT ennA��:JOHNM@GROUPMCS.COM <br /> AGREEMENT:i hereby certify that/have read and examined this applica6on and know the same to be true and correck All provisions of laws and ordinances goveming this type <br /> of work wil!be completed whether specified herein or not. The granting of a permit does not presume to give authonty to vio/ate or cancel the provisions of any other state or <br /> local law regulafing construction or the periormance of construcfion. That 1 am authorized by the owner of this property to perform the work for which applica6on is made and I <br /> compiy with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett O�cial Use On/y <br /> PERMIT# <br /> � r \� � V `� � � �`/ C �_ V�� <br /> 6 <br /> Owner/Authorized Agent Slgnature Date (Revised 9/23/2016) <br />