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ott°4111°P ELECTRICAL PERMIT APFILICATION
<br /> CITY OF OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET,EVERETT,WA 03201
<br /> (P)425-25T-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.govipermits
<br /> ,:" ''''' ;:::,,, 'iri.•. --..':,,',',:v,,,,,,----- ...1-, PROJECT SITE INFORMATION , <!-,q4,4„.::',.: .,. ,,,ET,-.,.,,,,,,,-,- '. .,1',..41`"‘;''''. .•,,,
<br /> PROJECT ADDRESS: 1131 Rainier Avenue Everett, WA-98201
<br /> BUILDING AREA(if residential,new construction,remodel,or addition)48266 SF
<br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX J MULTI-FAMILY-#OF UNITS:150 0 COMMERCIAL
<br /> USE arE2tzj2Lrltitjjantyapartment complex .......____
<br /> ELECTRICAL APPLICATION '" A11014,-'.. .:''..'
<br /> CONTRACT PRICE OF WORK:$ 17,000
<br /> pmckEitatptVICES(if w voltage):
<br /> FIRE ALARM? DYES 0 NO
<br /> ASSOCIATED BUILDING PERMIT#(if applicable): ,
<br /> DESCRIPTION OF WORK: Replace (23) HID pole fixtures with LED equivalent. Lighting controls are
<br /> existing. New fixture is ESL-AL-110W-150,cut sheet is available at httpallgoO.glfrix6Mgh
<br /> CONTACT INFORMATION -36a-staltvtseer:,
<br /> OWNER NAME:Everett Housing Authority TENANT NAME Of Commercial):
<br /> ,
<br /> `OWNER MAILING ADDRESS: ma; 1131 Rainier Ave
<br /> Everett sum WA zw.98201
<br /> i
<br /> , EMAIL:OWNER PHONE: 25-351-9922 [OWNER clints@evha.org
<br /> CONTRACTOR NAME: Mastercraft Electric, Inc.
<br /> CONTRACTOR ADDRESS: STREET 206 Frontage Rd N
<br /> try Pacific STATE WA zp,98047
<br /> CONTRACTOR PHONE: 253-73774367 ICONTRACTOR EMAIL: garydRmastercraftinc.com
<br /> CONTRACTORLIC.#seouiRED)t MASTEEll 2788 otrY OF evelprr BUSINESS LIC.tkosoutiteoz 055704 ....
<br /> --,
<br /> PRIMARY CONTACT: DOWNER 0 CONTRACTOR 0 OTHER(Please SPecifY)
<br /> CONTACT NAME: CONTACT PHONE: 206-255-8702
<br /> GARY DARLING CONTACT EMAIL:garyd@mastercraftinc.com
<br /> AGREEMENT;thereby eedifilthat I have reed and examined this limitation and know the same to be true and corned..AI provisions of laws and ordinances govensetthis type
<br /> of worked`he,aotnpletedw,bether specffiedhereta or not. The gtenendof 0 permit does not pommel*glee epteoleytovigesie or comet the previsions of any other state or
<br /> bow law regulating ootuteeotion or the petionnwto0 Of gensteletien, That emauthorized by ihevwnerethisPnWerk to perform the votetor which OFOC811011 Is Made and i
<br /> comply with the Mare Contractors Law 18.27-RG14(and 29e200 WAC.
<br /> 0141‘ 1(
<br /> 421A /
<br /> 119° it?
<br /> Signature f PERMITCAY;f Evere
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<br /> t Official Use
<br /> °116r
<br /> I?)ID- 1
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<br /> (Revised 9r23/2016) ' &
<br /> Scanned with CamScanner
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