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13110 19TH AVE SE 2019-06-11
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13110 19TH AVE SE 2019-06-11
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Last modified
6/11/2019 3:44:28 PM
Creation date
6/11/2019 3:44:23 PM
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Address Document
Street Name
19TH AVE SE
Street Number
13110
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EMECTRICAL PERMIT AFI _ N <br /> "IPotaa' <br /> , 3 CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,INA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@evenettwa.gov 1 www.everettwa.gov/permits <br /> 4.c.,.e&MOJECT SITE INFORMATION '..0111111P <br /> PROJECT ADDRESS: 13110 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: Walgreens Pharmacy <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 3,750.00 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Disconnect/reconnect of (6) 50A RTU's and t-stats. <br /> CONTACT INFORMATION <br /> OWNER NAME:Walgreens Pharmacy TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 13110 Bothell Everett Hwy <br /> cm. Everett STATE WA ZIP 98208 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Seatac Electric, Inc. <br /> CONTRACTOR ADDRESS: sTREEr 7056 S. 220th Street <br /> cm Kent STATE WA zip 98032 <br /> CONTRACTOR PHONE: 253-872-5553 CONTRACTOR EMAIL: ebony.oneill@seatacelectric.com <br /> CONTRACTOR UC.#(REQUIRED): seataeiO77rW 'CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 033037 <br /> PRIMARY CONTACT: D OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> r <br /> CONTACT NAME: CONTACT PHONE: 206-300-1902 <br /> Travis Quackenbush CONTACT EMAIL:travis.quackenbush@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 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 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> �� - (s- -(� E ��O� - V0� <br /> P orized A, Signet re �— Date (Revised 9/232016) <br />
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