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ELECTRICAL PERMIT APPLICATION <br /> /11P:tit.%,/:=4 <br /> ,- CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT S1TE INFORMATION <br /> PROJECT ADDRESS: 3003 West Casino Road, Everett, WA 98204*Bldg & Column: 4V-21..M P/$ <br /> BUILDING AREA(if residential,new construction,remodel,or addition)n/a SF <br /> BUILDING TYPE: D.SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX ❑MULTI-FAMILY-#OF UNITS: ®COMMERCIAL <br /> USE.OF BUILDING: Industrial <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 4/OS <br /> NUMBER OF DEVICES(if low voltage): n/a <br /> FIRE ALARM? ❑YES ®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 /> CONTACT INFORMATION <br /> OWNER NAME:The Boeing Company TENANT NAME(If Commercial): Boeing. <br /> OWNER MAILING ADDRESS: STREET PO Box 3707 <br /> cmr 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 /> cm. Redmond STATE WA zip 98052 <br /> CONTRACTOR PHONE: 425.814.6000 CONTRACTOR EMAIL: gary.belanger@sequoyah.com <br /> CONTRACTOR L1C.#(REQUIRED): SEQUOEL97739 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):40645 <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑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 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 ornot. The granting of a permit does not presume to give authority to violate or cancel the provision 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 applicaffon is made and <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> Angela Hocking ' 10. 12. 18 E - <br /> Owner/Authorized Age Signature Date (Revised.9/23/2016) <br />