3003 W CASINO RD BLDG 40-11 2018-09-24

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3003 W C3SIf10 ROad, Bldg 40-11, Everett, WA 98204 (Boeing Everett Facility) BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: � COMMERCIAL USE OF BUILDING: IndUStrlal/AvIat1011 �....._..,_ EL CT ICAL APPLICATION INFORMATION CONTRACT PRICE OF ORK: $ 600 NUMBER OF DEVICES 'f low voltage): 1>>�' FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Replace existing duplex receptacle with GFCI receptacle. COL LVL MEZZ: D4.5 (Just outside elevator) Contact Mike Thomas:425-229-2541 CONTACT INFORMATION OWNER NAME: Boeing TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREEr 3003 W Casino Road ciTv Everett sraTe WA ziP 98204 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Sequoyah Electric, LLC CONTRACTOR ADDRESS: srReer 15135 NE 92f1d Stl'22t cin, Redmond STATE WA CONTRACTOR PHONE: 425-814-6000 CONTRACTOR EMAIL: �'� CONTRACTOR LIC.#(REQUIRED): SEQUOEL977S9 CITY OF EVERETT BUSINESS LIC.#( QUIRED): 40645 PRIMARY CONTACT: ❑OWNER � CONTRACTOR ❑OTHER(Please Specify) �" CONTACT NAME: CONTACT PHONE: 425-766-3149 " Mitch Markham CONTACT EMAIL: mitch.markham@sequoyah.com AGREEMENT:I 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 type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority fo violate or cance/the provisions of any other state or 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 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett O(ficial Use On/y PERMIT# Sequoyah Electric, LLC/Jasmine Belanger 6/16/17 E 1�� _ �� OwnerlAuthorized Agent Signature Date (Revised 9/23/2016)