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1LECTRICAL PERMIT APIILICATION
<br /> Imo►'> >- CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT,WA 98201
<br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits
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<br /> PROJECT ADDRESS: 2733 Colby Ave
<br /> BUILDING AREA(if residential,new construction,remodel,or addition)4500 SF
<br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL
<br /> USE OF BUILDING: Office
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<br /> CONTRACT PRICE OF WORK: $ 15000
<br /> NUMBER OF DEVICES(if low voltage): 100
<br /> FIRE ALARM? ❑YES 0 NO
<br /> ASSOCIATED BUILDING PERMIT#(if applicable):
<br /> DESCRIPTION OF WORK: Provide CAT 6 cabling for new workstations
<br /> fr, #► ,„,� 4,04033tA
<br /> OWNER NAME:FUNKO TENANT NAME(If Commercial): FUNKO
<br /> OWNER MAILING ADDRESS: STREET 2802 Wetmore Ave
<br /> Cm. Everett STATE WA ZIP 98201
<br /> OWNER PHONE: 425.783.3616 OWNER EMAIL:heidi@funko.com
<br /> CONTRACTOR NAME:ZORKO ELECTRIC INC
<br /> CONTRACTOR ADDRESS: STREET PO BOX 100
<br /> cr,DUVALL STATE WA Z,P 98019
<br /> CONTRACTOR PHONE:425-788-7710 CONTRACTOR EMAIL: kentv@zorkoelectric.com
<br /> CONTRACTOR LIC.#(REQUIRED): ZORKOEI121 OK CITY OF EVERETT BUSINESS LIC.#(REQUIRED):048520
<br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME: CONTACT PHONE: 425-788-7710
<br /> Kent VanderWeide CONTACT EMAIL:kenty@zorkoelectric.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 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
<br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC.
<br /> City of Everett Official Use Only
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<br /> 1/ I / I PERMIT#
<br /> if E ( R6DS- O/ 3
<br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016)
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