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ELECT�lCAL PERMIT APPLICATION <br /> C1TY OF EVERETT PERMIT SERVICES <br /> 32(7p CEDAR STREET, EVERETT, WA 98201 <br /> {P)425-257-8810 � FAX 425-�57-8857 J (E) everetteps@everettwa.go�� www.everettwa.govipermits <br /> PRaJECT 51TE IN�ORMATION <br /> PRo��cr,aoQRess: 2000 W marine Drive <br /> BLJILDING AREA(i€residential, new construction, remodel,or addition} SF <br /> BUILDING TYPE: ❑SFR-DETACNED ❑SFR-ATTACHED ❑DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> us�oF auiLoiN�: Naval Statiorl�----, <br /> ' �ELE�TRICAL APPlICATION INFORMA?IaN <br /> C�NTRACT PRICE OF WORK:� 500 <br /> � <br /> NUMBER QF DEVlCES if Ipw vo a e : � �' <br /> FIRE ALARM? 0 YES �"*�.�NO <br /> ASSOCIATED BUILDING PERMET# if a licable; <br /> DESCRtRTIQN OF WORK: 2 hvur load#est ot� new 1�0 KW genera#or 277I480 <br /> COiNTACT IN�OR'lV1ATIQN <br /> owNER Ne�ME: Naval Station Building 2502 r�N,�NY ruAn�e if cammerciai : <br /> OWNER MAILING ADDRESS: SrReer ��OO VII M�t'ICi� DC <br /> �,n Everett srare WA �,P 98201 <br /> OWNER PHONE: 206-227-7957 OWNER EMA1L: <br /> CONTRACTOR NAME: CU1111711nS 113C <br /> CONTRACTOR ADDRESS: sTREET 811 SW Grady Way <br /> �I�y RLntOn STATE WA LP �SO.Y! � -�-'-"��. <br /> CONTt�ACTOR PHONE: 425-277-5343 coNTRacroR EMai�: Dan.wassom@cummins.com �� 'e <br /> CONTRAC70R UC.#(REQUIRED): CUMM�I*853C4 CITY OF EVERE7T BUSINESS L1C.#tREQUI fd); 600-414-931 j <br /> F <br /> PRIMARY CONTACT: ❑pWNER p1 GaNTRACTOR ❑OTHER(Piease Specify) ,�' <br /> CON7ACT NAME: CQNT�AGT PHONE: r}2�j_277_��43 {'�.,�_ �-�` <br /> DaCII�I VIIaSSC?t71 �C�NTACT EMAILc pan.wassom@cummins.cam <br /> ACaf2E'EMENT.�t AEteby certily that/have raad and examrned ihis BApliCafion 8nd XttOw the same to be trEie and conect. All prvvrsfans al faws and orClrnances govemrng this type <br /> ot trrork wrU be cnrnpleted 4vhether spec�ed herern or noi. TAe grandng cf a perm8 does nat preaume ta give aythanty to vrotate or cance�the provisions ol any other state or <br /> loca!law regulating constrtrcfion or the peAarmance ol constructron. 7hat!am aathor"rred by fhe awner o/tAis prs�perty to perfarm the waria�or which app+rcation is made and t <br /> comply with the Stafe Contractors taw 18.27 RC W and 2B82D0 WAQ <br /> City of EvereK Otticial Use Qnly <br /> PERMI7# <br /> c�"—� ��� �f��/� � E ��-03 – �C�� <br /> Own�utharized Agent Signature Date (Revised 9/73F2016) <br />