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EINECTRICAL PERMIT Al _.ICATION <br /> /1111Poxy: <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 www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 801 E Casino Road, Everett, WA 98203 <br /> BUILDING AREA(if residential,new construction, remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Cascade High School =''Staff Lounge Remodel v. <br /> ELECTRICAL"APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 6,500.00 <br /> NUMBER OF DEVICES (if low voltage): N/A <br /> FIRE ALARM? 0 YES ID NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): N/A <br /> DESCRIPTION OF WORK: Provide&install occ sensor and new receptacles <br /> !AO re )ek0 "e <br /> / <br /> VA(T. uvrt � <br /> ')1 <br /> CONTACT INFORMATION <br /> OWNER NAME: Everett School District TENANT NAME(If Commercial):Ds(Ale h5tlACO I <br /> OWNER MAILING ADDRESS: STREET 3900 Broadway <br /> crry Everett STATE WA zip 98201 <br /> OWNER PHONE: 425-385-4195 OWNER EMAIL:lcollins@everettsd.org <br /> CONTRACTOR NAME: BlueCore Power LLC <br /> CONTRACTOR ADDRESS: STREET 2001 6th Ave, Suite 1776 <br /> cin, Seattle STATE WA ZIP 98121 <br /> CONTRACTOR PHONE: 206-201-0300 CONTRACTOR EMAIL: alycia.ivins@bluecorepower.com <br /> CONTRACTOR LIC.#(REQUIRED): BLUECCP841 NN CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 58010 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-220-5040 <br /> Jeff Barker CONTACT EMAIL:jeff.barker@bluecorepower.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 of Everett Official Use Only <br /> PERMIT# <br /> 1141/g EtS \- \d <br /> t3( <br /> Ow eri tihorized Agent Signature Date (Revised 9/23/2016) <br />