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/111° ELECTRICAL PERMIT APPLICATION <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 l www.everettwa.gov/permits <br /> • PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 840 North Broadway Bldg A <br /> BUILDING AREA(if residential,new construction.remodel,or addition) SP <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: RI COMMERCIAL <br /> USE OF BUILDING: Commercial Office Bldg <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 1,250.00 <br /> NUMBER OF DEVICES Of low voltage): <br /> FIRE ALARM? D YES El NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Disconnect/Reconnect 480V 50A HVAC Unit. <br /> CONTACT.INFORMATION <br /> OWNER NAME:Broadway Building Bldg A TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: smRerr 840 North Broadway Bldg A <br /> an. Everett STATE WA w 98201 <br /> OWNER PHONE: (OWNER EMAIL: <br /> CONTRACTOR NAME: Seatac Electric Inc. <br /> CONTRACTOR ADDRESS: srReET 7056 S 220th Street <br /> ary Kent STATE WA zip 98032 <br /> CONTRACTOR PHONE: 253-872-5553 (CONTRACTOR EMAIL: ebony.oneill@Seatacelectric.com <br /> CONTRACTOR UC.#(REQUIRED): seataei077rw IcrTY OF EVERETT BUSINESS UC.#(REQuiRED):033037 <br /> PRIMARY CONTACT: D OWNER 0 CONTRACTOR D OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-305-0349 <br /> Dylon Pyle CONTACT EMAIL:dylon.pyie@seatacelectric.com <br /> AGREEMENT:I hereby certify that t have read and examined this application and know the same to be true end correct Ali provisions Wows end ordinances governing this type <br /> W work*4 be completed whether specledherei n or not The granting*,a permit does not presume to give autharfy to Wolate or cancel Ui.provisions of any other state or <br /> local law mutating construction or the perdonnance of conn. net l an authorized by the owner*,this property to perform the warts for which application is made and <br /> comply with the State Contractors Law 18.27 RCW and 298.200 WAC. <br /> City ofEverett Official Use Only <br /> PERMIT# <br /> Q/ <br /> 6/8/18 E 1 910(0- n'1 <br /> OwneH Agent Signature Date (Revised&23'2016) <br />