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t <br /> . <br /> olliliP <br /> ELECTRICAL PERMIT APPLICATION <br /> 41W17 CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 I (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> IE>t ,1 ( TS`i1TE'INFL11Zttrl#7"IC <br /> l <br /> PROJECT ADDRESS: 4027 4TH ST SE <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> 'WILDING TYPE: CI SFR-DETACHED 0 SFR ATTACHED U DUPLEX ID MULTI-FAMILY-#OF UNITS: ri5 COMMERCIAL <br /> USE OF BUILDING: WASTEWATER TREATMENT PLANT <br /> 7 • ELs�NId41; AQ0LICATION AN�.���ER.. IIAA ION <br /> ..n... h� ... .. � any...\^n1`\ fRc-,.-{ � ... �` • e - „,-,,Z,,;.>," <br /> :fi2:Lx <br /> CONTRACT PRICE OF WORK:$ 150,000 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? ID YES m NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: INSTALL NEW 480V BACKUP GENERATOR AND TRANSFER SWITCH <br /> TO FEED ADMIN LAB AND HEADWORKS CSO STRUCTURE, NEW WIRE, CONDUIT, &CONTROLS <br /> i <br /> 2 <br /> CONTACT INFORMATION. . 1 <br /> I <br /> OWNER NAME:CITY OF EVERETT TENANT NAME(If Commercial): EWPCF <br /> i <br /> OWNER MAILING ADDRESS: STREET 3002 VVETMORE AVE <br /> erry EVERETT STATE WA, zo. 98201 <br /> za <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: OWNER <br /> CONTRACTOR ADDRESS: STREET <br /> 1 <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LIG.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> l <br /> PRIMARY CONTACT: ®OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-257-8232 <br /> MATT CHRISTIE CONTACT EMAIL:MCHRISTIE©EVERETTWA.GOV 1 <br /> AGREEMENT 1 hereby certify that/have read end ekarnined this application end know the same to be true and correct. All provisions of laws and ordinances governing this type 1 <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 l am authorized by the owner of this property to perform the work for which application is made_and:l <br /> comply with the State Contractors Law 18.27 ROW and 296.200 WAG., <br /> I <br /> 1 <br /> i <br /> e <br /> City of Everett Official Use Only <br /> PERMIT# f <br /> -:'. tiro i E \%Dc Vg. <br /> Owner/Authorize.Agent Signature Date (Revised 9/23/2018) I <br /> 1 <br />