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0477- ECTRICAL PERMIT AF _ICATION <br /> 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: ,jus) vvCJ1 1/4—,EIS II—iu I—i c-;:, <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: El SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS: Ll COMMERCIAL <br /> USE OF BUILDING: -toeing 777x CWC Wing Building <br /> ' ti- ELECICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: 2,500.00 <br /> NUMBER OF DEVICES (if low ,oltage): Fire Alarm Devices <br /> FIRE ALARM? ...A YES . /NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Monis. yew Sprinkler Zone Check Valve located on PGT Stringer Trim Drill Worl <br /> Zone <br /> CONTACT INFORMATION <br /> OWNER NAME: doeing Commercial Airplanes TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: 'hawk 3 & Secur <br /> CONTRACTOR ADDRESS: STREET 21312 30th Drive SE, Suite #103, B( <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: 4L5-486-2600 X 7609. CONTRACTOR EMAIL: NaperrrlmmS(g)reahawkus.Com ((r ,, <br /> CONTRACTOR LIC.#(REQUIRED): REDHAHF882NH CITY OF EVERETT BUSINESS LIC.#(REQUIRED). 045269 <br /> PRIMARY CONTACT: ❑ OWNER MONTRACTOR El OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-450-83; <br /> Pri x, `!anDerHeyden CONTACT EMAIL: brian.vanderheyderi <br /> AGREEMENT:T 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 <br /> type 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 of Everett Official Use Only <br /> FEE <br /> _____✓ PERMIT# <br /> /� ,,,,z(_ --__ /O-6(-17 E n cp -- 03c( <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) ) <br />