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� �« �� � <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@everettwa.gov� www.everettwa.gov/permits <br /> ' ` PROJECT SITE-INFORMATION ' <br /> PROJECT ADDRESS: 3003 West Casino Raad,Everett,WA 982Q3 <br /> BUILDING AREA(if residential,new construction, remodel,or addition) 9, 0 0 0 SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: �COMMERCIAL <br /> USE OF BUILDING: MariufaCturirig <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 3 � a• <br /> NUMBER OF DEVICES if low voltage): N/A <br /> FIRE ALARM? ❑YES �NO ' <br /> ASSOCIATED BUILDING PERMIT#(if applicable): d -O(oi <br /> DESCRIPTION OF WORK: Provide general convenience and equipment power <br /> at Stringer Primary NDI Tool Zone within 40-58 Wing Building <br /> CONTACT INFORMATION <br /> OWNER NAME: BO@Itlg EV@P2tt FaClllty TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: srReeT 3003 West Casino Road <br /> cin. Everett STATE WA ZiP 98203 <br /> OWNER PHONE: ZO6 949-0714 OWNER EMAIL: <br /> CONTRACTORNAME: VECA EIeCtPIC CO., INC <br /> CONTRACTOR ADDRESS: srReer <br /> ��n Seattle STATE WA Z�P 98108 <br /> CONTRACTOR PHONE: 36O 927-F)432 CONTRACTOR EMAIL: <br /> coNr�,cTOR�ic.#�REQu�REo>: VECAECI542MU CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 00494�J <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: EI��� ���'II CONTACT PHONE: (36�)594-6294 <br /> CONTACT EMAIL: �ric_sE-►�11�7a v+eca.com <br /> AGREEMENT.•T 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 <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 pertormance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett O�cial Use Only <br /> FEE <br /> 3 �- �t � •4g <br /> PERMIT# <br /> � �'" �o z���� E l c� c n —r �- t <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />