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LECTRICAL PERMIT AP�ICATtON <br /> ClTY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P}425-257-8810 ( FAX 425-257-8857 f (E)everetteps@everettwa.gov � www.everettwa.gov/permits <br /> PROJECT SlTE INFORM/�TtON <br /> PRo�ecTao�REss: 1002 MILLWRIGHT LOOP S <br /> BUILDING AREA(if residential,new consVuction,remodel,or addition}N�A SF <br /> BUILDING TYPE: �SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: HOTEL <br /> ELECTRICAL APPLICATION IN ORMATION <br /> CONTRAC7 PRICE OF WORK:3 2500.00 <br /> NUMBER OF DEVlCES if low volta e : <br /> FIRE ALARM? ❑YES 0 NO <br /> ASSOCIATED BUILpING PERMtT# if a licable : <br /> DESCRIPTION OF WORK: 200 AMP TEMP POWER SERVICE FOR CONS3RUCTION TRAILER <br /> CONTACT INFORMAT�ON <br /> OWNER NAME: aMWEALTH LP TENANT NAME If Commerciaq: HOTEL INDIGO <br /> OWNER MAILING ALDRESS: srnEeT �8230 E VALLEY HIGHWAY#195 <br /> c,n. KENT STATE WA z�P 98032 <br /> OWNER PHONE: 425-251-16U0 OWNER EMAIL: N/A <br /> CONTRACTOR NAME: HOLMES ELECTRIC <br /> CONTRACTOR ADDRESS: s„�eeT 600 WASHINGTON AVENUE SOUTH <br /> cm. KENT STATE WA Z1P 98032 <br /> CONTRACTOR PHONE: 253-479-4000 coNrRacTOR eMai�: FARIN.YANCICH@HOLMES.COM <br /> CONTRACTOR LIC.#(REQUIRED): HOi.MEEC549BH CITY OF EVERk?T BUSINESS LlC.#(REQUIRED): 009394 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-379-i 387 <br /> RIC FEGURGUR CONTACT EMAI�:RIC.FEGURGUR@HOLMES.COM <br /> AGltEEME/VT.�I hereby certify that I have read and examined this application and know the same to be hue and conect. All provisions of/aws and oidinances goveming this type <br /> of worlc will be compteted wheiher specifled heiein or not. The granting of a permil dces not presume to glve authorlty to vfolate or cancel the provisions of any other state or <br /> /ocal law regulating consbuction or the pe�famance of consUuction. That!am authodzed by the owner a/this propert y to perfonn the wak for which appllcation Is made and! <br /> comply with the State Contrsctors taw 18.27 RCW and 296.200 WAC. <br /> City of Everett O�cial Use Only <br /> PERMIT# <br /> �z� �� E 1�503- 1� <br /> ner/ orized Agent t nature Date (Revised 9/23/2016) <br />