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ElaCTRICAL PERMIT APP CATI N <br /> O <br /> ,44 CITY 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 ADDRESS: 7100 Hardeson Road Admin Bldg, Everett, WA 98203 <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: m COMMERCIAL <br /> USE OF BUILDING: <br /> CONTRACT PRICE OF WO . $ 2500.00 <br /> NUMBER OF DEVICES(if lo voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PER T#(if appli•:ble): <br /> DESCRIPTION OF WORK: Ins: ation of • circuits for(4)Dual electric vehicle charging stations on ballards in parking lot.Sub-Panel upgrade to accommodate circuits. <br /> x a \ �. # # y # # v <br /> p:. <br /> OWNER NAME: TENANT NAME(If Commercial): Community Transit-EVSE Everett Admin <br /> OWNER MAILING ADDRESS: STREET 7100 Hardeson Road Admin Bldg <br /> c,r. Everett STATE WA ZAP 98203 <br /> OWNER PHONE: (425)438-6132 OWNER EMAIL: ken.bailey@commtrans.org <br /> CONTRACTOR NAME: Puget Sound Solar <br /> CONTRACTOR ADDRESS: STREET 805 Rainier Ave S <br /> cm( Seattle STATE WA ZIP, 8.144 <br /> CONTRACTOR PHONE: 2062186766 CONTRACTOR EMAIL: cjohanning CI pugetsoundsolar.C1rfi <br /> CONTRACTOR LIC.#(REQUIRED): pugetss920rh CITY OF EVERETT BUSINESS LIC.#(REQUIRE 4954 <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 2062186766 <br /> Michiel Zuidweg CONTACT EMAIL:cjohanning@gmail.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 lam 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 /> Digitally signed M'Chris Johanning <br /> Chris J o h a n n i n 1e4k0 —2-A3 <br /> empll=c ohanning®pugetsou Esol r cdU9lar,ou, E E <br /> Date:2017.10.2510:10:20-07'00' <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />