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ENCTRICAL PERMIT APPIATION <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 I www.everettwa.gov/permits <br /> PROJEC '` ITE I}Ntkrt:SATIIOII <br /> PROJECT ADDRESS: 3003 West Casino Rd PRKG Lot N2 i.°yl is( o o z <br /> BUILDING AREA(if residential,new construction,remodel,or addition)N/A-Construction SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING:- l autoclave in parking lot at Boeing s /717ew-, <br /> �y{�3 y■ <br /> ,� ' EII. C ICAL APPLJCATIO j$F RMATIONkJ . 15j a .. .x } <br /> CONTRACT PRICE OF WORK: $ $2,000 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Hook up 2 ea construction power distribution boxes and 1 ea job trailer to feeders <br /> provided by Boeing. <br /> s C�I�T1�C7 ItN�'©IRMATII�N . . - <br /> OWNER NAME:Boeing Company TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: ASC Process Systems and sub contractor JR Electric <br /> CONTRACTOR ADDRESS: STREET 28402 livingston Ave <br /> CIN Valencia STATE CA ZIP 91355 <br /> CONTRACTOR PHONE: 818-419-5197 CONTRACTOR EMAIL: tony.page@aschome.Com <br /> CONTRACTOR LIC.#(REQUIRED): ASCPRPS869P1 CITY OF EVERETT BUSINESS LIC.#(REQUIRED) 054558 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) tony page <br /> CONTACT NAME: CONTACT PHONE: 818-L19-5197 <br /> CONTACT EMAIL:tony,page@aschome.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 1 am authorized by the owner of this property to perform the work for which application is made and 1 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> E Flog-too <br /> ner/ horizia'Agent gnature Date i' \ (Revised 9/23/2016) <br /> r'. � n <br />