Laserfiche WebLink
otrn. ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-881.0 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov( www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 3003 West Casino Road, Everett, WA 98204 *Bldg & Column: yd_,zz. MW,j/5 <br /> BUILDING AREA(if residential,new construction,remodel,or addition)n/a SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED ❑DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Industrial <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ (, /Op <br /> NUMBER OF DEVICES(if low voltage): n/a <br /> FIRE ALARM? ❑YES I NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable : n/a <br /> DESCRIPTION OF WORK: Temporary construction power; Branch circuit modification; <br /> Lighting (one-for-one) replacement/refurbishment; Device(one-for-one) replacement; Installation of GFCI breakers <br /> Sequoyah Job#32548 <br /> • <br /> CONTACT INFORMATION- <br /> OWNER <br /> NFORMATIONOWNER NAME:The Boeing Company TENANT NAME(If Commercial): Boeing <br /> OWNER MAILING ADDRESS: STREET PO Box 3707 <br /> cay Seattle STATE WA zip 98124_-2207 <br /> OWNER PHONE: 312.544.2000 OWNER EMAIL: n/a <br /> CONTRACTOR NAME: Sequoyah Electric LLC <br /> CONTRACTOR ADDRESS: STREET 15135 NE 92nd Street <br /> crr,r Redmond STATE WA zP 98052 <br /> CONTRACTOR PHONE: 425.814.6000 CONTRACTOR EMAIL: gary.belanger@sequoyah.com <br /> CONTRACTOR LIC.#(REQUIRED): SEQUOEL977S9 CITY OF EVERETT BUSINESS LEC.#(REQUIRED):40645 <br /> PRIMARY CONTACT: 0 OWNER VI CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.903.1717 <br /> Gary Belanger, Project Manager CONTACT EMAIL:gary.belanger@sequoyah.com <br /> AGREEMENT:I hereby certify that 1 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 nol. 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 tam authorized by the owner of this property to perform the work for which application is made and <br /> comply with the State Contractors Lew 18.27 RCW and 29&200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> Angela Hocking 10. 12. 18 .E l `6 (.0 (O2- <br /> OwnedAuthorized Agent Signature Date (Revised.9 23/2016) <br />