Laserfiche WebLink
'6°11�--�,. ELECTRICAL PERMIT APPLICATION <br /> 111__ J 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 l www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 3003 West Casino Road, Everett,WA 98204*Bldg & Column: 4-31.3 Ar/I3 <br /> BUILDING AREA(if residential,new construction,remodel,or addition)n/a SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: VI COMMERCIAL <br /> USE OF BUILDING: Industrial <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$6/5/0+ <br /> NUMBER OF DEVICES(if low voltage): n/a <br /> FIRE.ALARM? ❑YES la 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: STREET PO Box 3707 <br /> c y 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 /> c,,r Redmond STATE WA. zip 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: D OWNER ll CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.903.1717 <br /> Gary Belanger, Project Manager CONTACT EMAIL:gary.belanger@sequoyah.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!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 /> Angela Hocking 10.1.2. 18 E l g« - 1 %9 <br /> 9 <br /> OwnerlAuthorized Agent Signature Date (Revised 923/2016) <br /> amie4: ir4A•a <br />