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4rErr ELECTRICAL PERMIT APPLICATION <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 1 www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 2405 Broadway, Everett <br /> BUILDING AREA(if residential, new construction, remodel,or addition)2000 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ®COMMERCIAL <br /> USE OF BUILDING: Tenant Space <br /> ELECTRICAL A TION INFORMATION <br /> CONTRACT PRICE OF WORK: $ . e and Materials OJ �, <br /> - <br /> NUMBER OF DEVICES (if low voltage): N/A <br /> FIRE ALARM? 0 YES II NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Make repairs to existing devices and circuits to make space NEC compliant <br /> CONTACT INFORMATION <br /> OWNER NAME: Metro Construction TENANT NAME(If Commercial): Wee Fit Autism Center <br /> OWNER MAILING ADDRESS: STREET 148 Maple Ave <br /> ,,n Snohomish STATE WA Z,P 98290 <br /> OWNER PHONE: 206 947 2298 OWNER EMAIL: dan@metroreseattle.com <br /> CONTRACTOR NAME: Hampton Electric Inc <br /> CONTRACTOR ADDRESS: STREET 1729 181st PI SW <br /> „Ts, Lynnwood STATE WA ZIP •'r 7 <br /> CONTRACTOR PHONE: 425 778 7916 CONTRACTOR EMAIL: daveh@hamcom.com <br /> CONTRACTOR LIC.#(REQUIRED): HAMPTEI054Q1 CITY OF EVERETT BUSINESS LIC.#(REQUIREI : 043840 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206 423 4524 <br /> Dave Hampton CONTACT EMAIL:daveh@hamcom.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 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# <br /> of Everett Official Use Only <br /> i' <br /> ,/ '�2 � PERMIT E k) OS - ocfl <br /> Owner/Authorize Agent Signature Date (Revised 9/23/2016) <br />