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4E77 ELECTRICAL 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 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> `' '' a t � q x ` J II * NIF RMAT O "'" a�-`""'' r 's' k� <br /> . ...> . ,,.. �.u�._... .. .. -s.,.'-o.� ,,A, .fie,.., 4.,,�✓Gs�., 'e.,,s';9�^a�ti:,_,s�fis � �. t.a � �rF,� ✓ s_;�,,. ,< <br /> PROJECT ADDRESS: The Boeing Company 3003 W. Casino Rd. Building 40.53 Everett <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: El COMMERCIAL <br /> USE OF BUILDING: Manufacturing, LSM 7001 <br /> t ,_,. ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 22586.80 <br /> NUMBER OF DEVICES (if low voltage): 11 <br /> FIRE ALARM? ❑YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Install cable trays, install 480v power from supplied disconnect to Main Control Cabinets, <br /> run cables from Main Control Cabinets to connection plates, install grounding system <br /> s CONTACT INF 3RMAT"IO <br /> OWNER NAME:The Boeing Company TENANT NAME(If Commercial): Macaulay Wilson <br /> OWNER MAILING ADDRESS: STREET 3003 W. Casino Rd. Building 40.53 <br /> ow Everett STATE WA ZIP <br /> OWNER PHONE: 425-879-5895 OWNER EMAIL: <br /> CONTRACTOR NAME: MTorres America <br /> CONTRACTOR ADDRESS: STREET 905 80th St. SW <br /> cin. Everett STATE WA ZIP 98203 <br /> CONTRACTOR PHONE: 425-984-2700 CONTRACTOR EMAIL: sdideon@mtorresamerica.com <br /> CONTRACTOR LIC.#(REQUIRED): MTORRTA834M8 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 57182 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR El OTHER(Please Specify) Designated Administrator- MC <br /> CONTACT NAME: CONTACT PHONE: 206-852-2936 <br /> Sondria Dideon CONTACT EMAIL: sdideon@mtorresamerica.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 /> '4.cLOIA.A:00.— ;CO L ZO/R E SC)q - (OR <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />