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ELECTRICAL PERMIT APPt�ATION <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 /> PRC��E�T'SITE;IN�'ORMATIQN <br /> PRo�ECT a��REss: 2300 Kasch Park Road <br /> BUILDING AREA(if residential, new construction, remodel, or addition) N/A, Roof work SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: m COMMERCIAL <br /> usE oF Bui�oiNc: Office building <br /> ELECTRICAL APPLtCAT10N INFORMATION <br /> CONTRACT PRICE OF WORK: $ 4500.00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES m NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Rework connections to roof units. <br /> CONTACT INFORMATION <br /> OWNER NAME: Community Transit TENANT NAME(If Commercial): COI71f1lUtllty T�811SIt <br /> OWNER MAILING ADDRESS: srReEr 7100 Hardeson Road <br /> cin. Everett srATE WA ziP 98203 <br /> owNER PHONe: 425-353-7433 OWNER EMAIL: N/A <br /> CONTRACTOR NAME: ANM EleCtflC, Inc. <br /> CONTRACTOR ADDRESS: srReer 8810 172nd Ave NE <br /> cin. Redmond STATE WA ziP 98052 <br /> CONTRACTOR PHONE: 425 861 7195 CONTRACTOR EMAIL: andreW@anmel@CtC'IC.00171 <br /> CONTRACTOR LIC.#(REQUIRED): ANMELI*055LT CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 055454 <br /> PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425 861 7195 <br /> Andrew Clarke coNTACT eMai�: andrew@anmelectric.com <br /> AGREEMENT.I here6y 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 rype <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 1 am authorized by the owner of this property to perform the work for which application is made and 1 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> Andrew Clarke 2/8/2018 E ��b2- (�(� � <br /> OwnerlAuthorized Agent Signature Date (Revised 9/23/2016) <br />