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ELECTRICAL PERMIT APCATION
<br /> I*►� CITY OF EVERETT PERMIT SERVICES
<br /> 41 3200 CEDAR STREET, EVERETT, WA 98201
<br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits
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<br /> F11-71,-;$17,k4,71111,15114,41,
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<br /> PROJECT ADDRESS: 4805 Evergreen Way Everett, WA 98203
<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: cel COMMERCIAL
<br /> USE OF BUILDING: Remediation Skid
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<br /> CONTRACT PRICE OF WORK: , 4500
<br /> NUMBER OF DEVICES (if low v''Itage):
<br /> FIRE ALARM? 0 YES !A NO
<br /> ASSOCIATED BUILDING PERMIT#(if applicable): /
<br /> DESCRIPTION OF WORK: Run 60amp power to Remediation skid Control Panel from existing house
<br /> panel.
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<br /> OWNER NAME: Claremont Village Shopping Center TENANT NAME(If Commercial): ktC'
<br /> OWNER MAILING ADDRESS: STREET 4805 Evergreen Way
<br /> CITY Everett STATE WA ZIP 98203
<br /> OWNER PHONE: OWNER EMAIL:
<br /> CONTRACTOR NAME: SHJ Electric
<br /> CONTRACTOR ADDRESS: STREET 18920 13th PL S
<br /> CITY Seatac STATE WA ZIP • : 8
<br /> CONTRACTOR PHONE: 206-789-0580 CONTRACTOR EMAIL: Stephen.B@shjelectric.com
<br /> CONTRACTOR LIC.#(REQUIRED): SH.JELCIO6I B5 CITY OF EVERETT BUSINESS LIC.#(REQUIREI' . 034756
<br /> PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME: CONTACT PHONE: 206-849-7372
<br /> Stephen Bowser CONTACT EMAIL: Stephen,B@Shjelectric.com
<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 I am 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 /> 56/"z> E Vce'C' S—OtOwner/Authorized Agent Signature (Revised 9/23/2016)
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