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q..ECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 (E)everetteps©everettwa.gov I www.everettwagovipermits <br /> PROJECT SITE INFORMATION. <br /> PROJECT ADDRESS: 209 East Casino Road, Everett, WA 98208 <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: in COMMERCIAL <br /> USE OF BUILDING: Casino <br /> EL CTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WOR :$ 1,800 <br /> NUMBER OF DEVICES(if lo voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Replace(1) outdoor disconnect switch. Replace(1)thermostat for HVAC rooftop replacement. <br /> CONTACT INFORMATION <br /> OWNER NAME:JSH Properties TENANT NAME(If Commercial): Casino Square East <br /> OWNER MAILING ADDRESS: STREET 10655 NE 4th Street, Ste.901 <br /> crry Bellevue STATE WA zp 98004 <br /> OWNER PHONE: Diane Edwards OWNER EMAIL: DianeE@jshproperties.com <br /> CONTRACTOR NAME: Mechanical&Control Services, Inc. <br /> CONTRACTOR ADDRESS: STREET 6426 18th Street East <br /> any Fife STATE WA <br /> CONTRACTOR PHONE: 253 926-9777 CONTRACTOR EMAIL: daneller@groupmcs.com <br /> CONTRACTOR LIC.#(REQUIRED): MECHACS962BT CITY OF EVERETT BUSINESS LIC.#(RE. IRED): 045942 <br /> PRIMARY CONTACT: 0 OWNER . CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 253 926-9777 <br /> Travis Hull CONTACT EMAIL:travish@groupmcs.com <br /> AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and comet. 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 Law18.27 RCW and 296.200 WAG. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> \ <br /> E 17) 7 - Ogg <br /> • <br /> r Owner/Authorized Agent Signature Date (Revised 9123/2016) <br />