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�► 011PECTRICAL PERMIT APICATION <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: 10012 1st Drive SE Everett, WA. 98208 <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: 0 COMMERCIAL <br /> USE OF BUILDING: Chase Bank <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 220.00 <br /> NUMBER OF DEVICES (if low voltage): I <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Alter one 20A circuit to accommodate replacement of ATM machine. <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial): Chase Bank <br /> OWNER MAILING ADDRESS: STREET 10012 1st Drive SE <br /> Cm'Everett STATE WA zip 98208 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Seatac Electric Inc. <br /> CONTRACTOR ADDRESS: STREET 7056 S. 220th Street <br /> c,n.Kent STATE WA zip 98032 <br /> CONTRACTOR PHONE: 253-872-5553 CONTRACTOR EMAIL: dustin.russell@seatacelectric.com <br /> CONTRACTOR LIC.#(REQUIRED): SEATAEI077RW CITY OF EVERETT BUSINESS LIC.#(REQUIRED):033037 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-713-6376 <br /> Stephen Bourdette CONTACT EMAIL:stephen.bourdette@seatacelectric.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 /> � / 1 � E o 7 149 <br /> 0 er/Authorized Agent Signature Date (Revised 9/23/2016) <br />