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ELECTRICAL PERMIT APPLICATION <br /> /A/7-ACITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 1121 SE Everett Mall Way <br /> BUILDING AREA(if residential,new construction,remodel,or addition)200 sq SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Replace existing UPS at 911 center 1st floor like for like <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 12,000.00 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? ❑YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): N/A <br /> DESCRIPTION OF WORK: Replace existing UPS with Matching new,control board of old unit,was not replaceable. <br /> UPS is a 100KVA <br /> CONTACT INFORMATION. <br /> OWNER NAME: Snohomish County 911 Center TENANT NAME(If Commercial): VnQ Co c <br /> OWNER MAILING ADDRESS: STREET 1121 SE Everett Mall Way <br /> cry Everett STATE WA ZIP 98208 <br /> OWNER PHONE: 425-407-3924 OWNER EMAIL: slawlor ct snopac911.us <br /> CONTRACTOR NAME: Sequoyah Electric <br /> CONTRACTOR ADDRESS: STREET 15135 NE 92nd Street <br /> cITM Redmond STATE WA ZIP 98052 <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED): SEQUOEL977S9 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 40605 <br /> PRIMARY CONTACT: 0 OWNER Ca CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-750-9749 <br /> Don Lopata/Matt Snyder CONTACT EMAIL:don.lopata@sequoyah.com <br /> AGREEMENT:I hereby certify that t 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 /> ,CDOW tt.1.66Cpm P02oicr E <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />