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"1111d7.1.4 LLECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 4110 ETT <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 1 FAX 425-257-8857 1 (E) ereretteps@ererettr 1a.gor I ❑Ma.e'erettfa.gor/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 6201 Associated Blvd <br /> BUILDING AREA(if residential, nes I construction, remodel, or addition) N/A SF <br /> BUILDING TYPE: D SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-if OF UNITS: I COMMERCIAL <br /> USE OF BUILDING: Commercial <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 19,000.00 <br /> NUMBER OF DEVICES (if ion voltage): <br /> FIRE ALARM? 0 YES El NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: Install 800A 3 phase service in the PODS space. 30KVA transformer, 100A panel <br /> Move existing circuits to new panels. <br /> CONTACT INFORMATION <br /> OWNER NAME: Underwood Gartland Everett LL TENANT NAME(If Commercial): PODS <br /> OWNER MAILING ADDRESS: STREET 4210 132nd Ave NE <br /> CITY Bellevue STATE WA ZIP 98005 <br /> OWNER PHONE: NA OWNER EMAIL: NA <br /> CONTRACTOR NAME: Associated Electric <br /> CONTRACTOR ADDRESS: STREET PO BOX 280 <br /> CITY Snohomish STATE WA ZIP 98291 <br /> CONTRACTOR PHONE: 425-334-1955 CONTRACTOR EMAIL: banderson@associatedelectric.net <br /> CONTRACTOR LIC.#(REQUIRED): EC ASSOCECO88NL CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 025969 <br /> PRIMARY CONTACT: D OWNER ®CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-334-1955 <br /> Brent L Anderson CONTACT EMAIL: banderson@associatedelectric.net <br /> AGREEMENT:I 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 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 I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> "00 <br /> E � o�- 1 <br /> Owner!'uthorized Agent Signature Date (Revised 9/23/2016) <br />