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I <br /> ELECTRICAL PERMIT APPLICATION <br /> OLTr CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: g7.31 A42/2Pol2T R p EVt aro; t4/4. /Rog <br /> SrA,rz` 3x18 <br /> BUILDING AREA(if residential,new construction,remodel,or addition)400 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Community Tra it bus shelter <br /> ELEC ICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 5,000.00 <br /> NUMBER OF DEVICES (if low volta e): <br /> FIRE ALARM? 0 YES _ CAL-it <br /> ASSOCIATED BUILDING PERMIT#(if applicable): `�\ <br /> DESCRIPTION OF WORK: Construction of new bus shelter electrical service for lighting and passenger information display. <br /> 120/240 Volt single phase 60Amp new meter and service <br /> CONTACT INFORMATION <br /> OWNER NAME: Community Transit <br /> TENANT NAME(If Commercial): Todd Jacobs <br /> OWNER MAILING ADDRESS: STREET 7100 Hardeson Rd Wa ZIP 98203 <br /> CITY Everett STATE <br /> OWNER PHONE: 425 348 2367 (OWNER EMAIL:tOdd.jaCObs@COmmtranS.Org <br /> CONTRACTOR NAME: Elcon Corporation <br /> X801 2.3rd Pr VI Suite /00 <br /> CONTRACTOR ADDRESS: STREET 9610423G1Y Everett STATE Wa. ZIP <br /> CONTRACTOR PHONE: 206 510 3087 (CONTRACTOR EMAIL: bjudge@elCOnCOrp.COm 1 ' <br /> CONTRACTOR LIC.#(REQUIRED): ELCONC*128J1 ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> 43 <br /> PRIMARY CONTACT: ❑OWNER Q CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206 510 3087 <br /> Brandon Judge CONTACT EMAIL:budge@elconcOrp.COm <br /> rovisions of laws <br /> of work will be completed whether specified herein or notd . Thed e granting of a permit does is application and know the <br /> ot presume tosame to be rgive authority to vioue and correct. All l to or cancel the provisions of any other statordinances governing e oris type <br /> local law regulating construction or the performance of construction. That I am 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 /> 'I' .- ft 8 11' E l� c l — o�� <br /> ,ifr rr <br /> , 1 <br /> Owner/Authorized Agent Signature <br /> Date (Revised 9/23/2016) <br />