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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 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION• <br /> PROJECT ADDRESS: 3003 West Casino Road, Everett, WA 98204 *Bldg & Column:40_31.p,t AA/ <br /> BUILDING AREA(if residential,new construction,remodel,or addition)n/a SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ®COMMERCIAL- <br /> USE OF BUILDING: Industrial <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$5 2.13 <br /> NUMBER OF DEVICES (if low voltage): n/a <br /> FIRE ALARM? 0 YES ®NO <br /> ASSOCIATED BUILDING 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(If Commercial): Boeing <br /> OWNER MAILING ADDRESS: srnsar PO Box 3707 <br /> cry Seattle STATE WA zip 98124-2207 <br /> OWNER PHONE: 312.544.2000 OWNER EMAIL: n/a <br /> CONTRACTOR iNAME: .Sequoyah Electric LLC <br /> CONTRACTOR ADDRESS: smear 15135 NE 92nd Street <br /> cm, Redmond STATE WA na 98052 <br /> CONTRACTOR PHONE: 425.814.6000 CONTRACTOR EMAIL: gary.belanger@sequoyah_com <br /> CONTRACTOR LIC.#(REQUIRED): SEQUOEL977S9 CITY OF EVERETT BUSINESS LIC..#(REQUIRED):40645 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0°O1-HER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425,903.1717 <br /> Gary Belanger, Project Manager CONTACT EMAIL:gary.belanger@sequoyah.com <br /> AGREEMENT•l hereby certify that I have read and examined this application and know the same to be tree 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 tam 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 /> Angela Hocking 10. 12. 18 E <br /> Owner/Authorized Agent Signature/ Date (Revised 9/23/2016) <br /> 9e/a. i�.ocy( segei ata .Corr, <br />