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diECTRICAL PERMIT API.ICATION <br /> ,4tirwY CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov( www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:4030 Rucker Ave Everett, WA 98201 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Gas station <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 1,750.00 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 208V 30A circuit and up to 3120V 20A circuits to accommodate new cooler <br /> equipment. <br /> CONTACT INFORMATION <br /> OWNER NAME:BP Companies TENANT NAME(If commercial): Jk. t v <br /> OWNER MAILING ADDRESS: STREET 4030 Rucker Ave <br /> cm,Everett STATE WA zip 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Seatac Electric Inc. <br /> CONTRACTOR ADDRESS: snw 7056 S. 220th Street <br /> cmr Kent STATE WA zip 98032 <br /> CONTRACTOR PHONE: (253)872-55553 CONTRACTOR EMAIL: ebony.oneill@Seatacelectric,.com <br /> CONTRACTOR LIC.#(REQUIRED): seataei077rw CITY OF EVERETT BUSINESS LIC.#(REQUIRED):033037 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-305-0349 <br /> Dylon Pyle CONTACT EMAIL:dylon.pyle@seatacelectric.com <br /> AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and cored. All provisions of laws and ordinances governing this type <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 lam authorized by the owner of this property to perform the work for which application is made and <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 6(//04c7 E %O -G0C1 <br /> erl <br /> orlz c •. t Signature Date (Revised 9/23/2018) <br />