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�$l�0a�7 <br /> _ CTRICAL PERMIT AP CATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everetfinra.gov� www.everettwa.gov/permits <br /> PROJECT SITE:INFORMATION <br /> PROJECT ADDRESS: �003 West Casino Raad,Everett,WA 98203 <br /> BUILDING AREA(if residential, new construction, remodel,or addition) N��'' SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: �COMMERCIAL <br /> USE OF BUILDING: MariUf aCturirig <br /> _ _ . . <br /> _ _ _ , _ . _ . _ _.._ . __ _ <br /> _ _ _ . _ __ . _ <br /> _ <br /> _ _ _ _ _ <br /> `ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ a.�j(p <br /> NUMBER OF DEVICES if low volta e): N/A <br /> FIRE ALARM? ❑YES �NO <br /> ASSOCIATED BUILDING PERMIT#(if applicabie): Q <br /> DESCRIPTION OF WORK: Provide general convenience and equipment power <br /> for AGV Charging within 40-58 Wing Building <br /> CONTACTJNFORMATION <br /> OWNER NAME: BOelllg EV2fett FaClllty TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: snzeer 3003 West Casino Road <br /> cin Everett STATE WA ZiP 98203 <br /> OWNER PHONE: 206 949-0714 OWNER EMAIL: <br /> CONTRACTOR NAME: VECA EleCtl'IC CO., I NC <br /> CONTRACTOR ADDRESS: srReer <br /> ��TM Seattie STATE WA Z�P 98108 <br /> CONTRACTOR PHONE: 3GO 927-643Z CONTRACTOR EMAIL: <br /> coNTRacroR uc.#�REQuiREo>: VECAECI542MU CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 00494�J <br /> __ _ __ <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: E�.�� ����' CONTACT PHONE: (360)594-6294 <br /> CONTACT EMAIL: eric_sFiel[�« veca_com <br /> AGREEMENT:T hereby certify that!have read and examined this application and know the same to be true and correck 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 l <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> ��b l�(� <br /> 5 , � <br /> � PERMIT# <br /> ��-2�•�� E I � 0 ' 11� <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />