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477- 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 /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 8410 Broadway <br /> BUILDING AREA(if residential,new construction, remodel,or addition) SF <br /> BUILDING TYPE: D SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX La MULTI-FAMILY-#OF UNITS: Ei COMMERCIAL <br /> USE OF BUILDING: Hotel <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 14,500.00 <br /> NUMBER OF DEVICES(if low voltage): 4 <br /> FIRE ALARM? 0 YES Ea NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Install 3 dedicated circuits for front and rear gates, and install 4 low-volt lines for gates. <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial): Extended Stay <br /> OWNER MAILING ADDRESS: STREET 8410 Broadway <br /> CITY Everett STATE WA zip 98208 <br /> OWNER PHONE: 425-355-1923 OWNER EMAIL:extendedstayamerica.com <br /> CONTRACTOR NAME: Custom Electrical Services LLC <br /> CONTRACTOR ADDRESS: STREET3802 Auburn Way N, Ste 307 <br /> CITY Auburn STATE WA ZIP 98002 <br /> CONTRACTOR PHONE:425-282-4971 CONTRACTOR EMAIL: info@customelectricalseattle.com <br /> CONTRACTOR LIC.#(REQUIRED): CUSTOES893J2 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):53698 <br /> PRIMARY CONTACT: 0 OWNER la CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-535-4339 <br /> Travis CONTACT EMAIL:info@customelectricalseattle.com <br /> AGREEMENT:I hereby certify that I have read and examined this application and know the same to be hue 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 /> -- 05 1 g E ( so l-cZ--/ <br /> Owner/Authors d Agen na re Date (Revised 9123/2016) <br />