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• <br /> �� ELECTRICAL PERMIT APPLICATION <br /> ^►' CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 J FAX:425-257-8857 J (E)everetteps@everettwa.gov J www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 3003 West Casino Road, Everett, WA 98204*Bldg & Column:40_24/25,2 42 <br /> BUILDING AREA(if residential,new construction,remodel,or addition)n/a SF <br /> BUILDING TYPE: ❑.SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Industrial <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$4! EMS <br /> NUMBER OF DEVICES(if low voltage): n/a <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATEDBUILDING PERMIT#(if applicable): n/a <br /> DESCRIPTION OF WORK: Temporary construction power; Branch,circuit modification; <br /> Lighting (one-for-one) replacement/refurbishment; Device(one-for-one)replacement; Installation of GFCI breakers <br /> Sequoyah Job#32548 <br /> CONTACT INFORMATION <br /> OWNER NAME:The Boeing Company TENANT NAME Of Commercial): Boeing. <br /> OWNER MAILING ADDRESS: STREET PO Box 3707 <br /> carr Seattle STATE WA zip.98124-2207 <br /> OWNER PHONE: 312.544.2000 OWNER EMAIL: n/a <br /> CONTRACTOR NAME: Sequoyah Electric LLC <br /> CONTRACTOR ADDRESS: STREET 15135 NE 92nd Street <br /> wry Redmond sTATE WA zip 98052 <br /> CONTRACTOR PHONE: 425.814.6000 CONTRACTOR EMAIL: gary.belanger@sequoyah.com <br /> • CONTRACTOR,LIC.#tREQUIRED): SEQUOEL977S9 CITY OF EVERETT BUSINESS UC.#(REQUIRED):40645 <br /> PRIMARY CONTACT: 0 OWNER [I CONTRACTOR POTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.903.1717 <br /> Gary Belanger, Project Manager CONTACT EMAIL:gary.belanger@sequoyah.com <br /> AGREEMENT:1 hereby certify that!have read and examined this application and know the same to be true and correct Att provisions of taws and ordinances governing this type <br /> of work will be completed whetherspectfled 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 regalatfng construct/on or the performance of construction. That!am authorized by the owner of this property to perform the work for which application is made and! <br /> comply with the State.Contractors Law 18.27 RCW and 298.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> Angela Hocking 10. 12. 18 E ISIO — 1 (1. <br /> OwnedAuthorizel Age9t Stg ature • Date (Revised 91:23!2016) <br /> "ifiefet •t Cd SP—pras d4.• •Caryr <br />