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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 � FAX 425-257-8857 � (E)everetteps@everettwa.gov� www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PRo�ecr a��Ress: Boeing Everett Facility (Building 45-318) 3003 West Casino Rd, Everett, WA 98203 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) N�A SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: �COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 60,094.00 <br /> NUMBER OF DEVICES (if low volta e): <br /> FIRE ALARM? ❑YES � NO <br /> ASSOCIATED BUILDING PERMIT# if a licable): <br /> DESCRIPTION OF WORK: U date o tional standb s stem ��� Q' P`r�` �c `!� <br /> CONTACT INFORMATION <br /> OWNER NAME: BO@Itlg EVE�ett FaClllty TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: s-rReer 3003 West Casino Road <br /> ciTM EVe�ett STATE WA ziP 98203 <br /> OWNER PHONE: 206 949-0714 OWNER EMAIL: <br /> coNrRacTOR Nanne: VECA Electric&Technologies <br /> CONTRACTOR ADDRESS: srReer 5614 - 7th Ave S P.O. Box 80467 <br /> ��N Seattle STATE WA Z,P 98108 <br /> CONTRACTOR PHONE: 206-436-5200 CONTRACTOR EMAIL: Dafll@I.�OI'dafl veca.com <br /> CONTRACTOR LIC,#(REt1UIRED): VECAECIS42MU CITY OF EVERETT BUSINESS LIC.#(REGIUIRED): 004945 <br /> PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: MIIC@ Hat"t"ISOtI CONTACT PHONE: 206-415-8945 <br /> CONTACT EMAIL: f111k@.ha�flSOtl p�VeCa.COfTI <br /> AGREEMENT.�T hereby certify that I have read and examined this application and kflow 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 vio/ate 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 I <br /> ` comp/y with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett O�cial Use Only <br /> F� <br /> ����� �� <br /> PERMIT# <br /> 9�5 r� E �� o� � ��� <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />