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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br />PROJECT SITE INFORMATION <br />PROJECT ADDRESS: 3003 West Casino Road, Everett, WA 98204 Building 40-31 <br />BUILDING AREA (if residential, new construction, remodel, or addition) 200 SF <br />BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI -FAMILY - # OF UNITS: 0 COMMERCIAL <br />USE OF BUILDING:Manufacturing <br />ELECTRICAL APPLICATION INFORMATION <br />CONTRACT PRICE OF WORK: $ 1,200 <br />NUMBER OF DEVICES (if low voltage): <br />FIRE ALARM? ❑ YES 0 NO <br />ASSOCIATED BUILDING PERMIT # if applicable): <br />DESCRIPTION OF WORK: installation of disconnect on existing paint booth <br />CONTACT INFORMATION <br />OWNER NAME: The Boeing Company TENANT NAME (If Commercial): <br />OWNER MAILING ADDRESS: STREET 3003 West Casino Road <br />crry Everett STATE WA zj, 98204 <br />OWNER PHONE:425-249-8475 <br />OWNER EMAIL: cameron.mackay@boeing.com <br />CONTRACTOR NAME: VECA Electric & Technologies <br />CONTRACTOR ADDRESS: STREET 5614 - 7th Ave S <br />, Seattle STATE WA zip 98108 <br />CONTRACTOR PHONE: 2064365200 <br />CONTRACTOR EMAIL: david.wolf@veca.com <br />CONTRACTOR LIC. #(REQUIRED): VECAEDI542MU <br />ICITY OF EVERETT BUSINESS LIC. #(REQUIRED): 004945 <br />PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Orville Sleffert <br />CONTACT PHONE: 206-683-3469 <br />CONTACT EMAIL: Orville.Sieffert@veca.COm <br />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 <br />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/ <br />comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br />City of Everett Official Use Only <br />PERMIT # <br />-� E n (Du-- t(oo <br />Owner/Authorized Agent SignatWe Z Date (Revised 912312016) <br />