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OLT I ECTRICAL PERMIT AF _ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 I FAX 425-257-8857 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: Boeing Everett Facility (Building 45-03) 3003 West Casino Rd, Everett, WA 98203 <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: El COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 56,327.49 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES ® NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: 821308 - Install temporary power for project office trailers. <br /> Installation to include temp power cables and manufactured power skid. <br /> Location is south west corner of 45-03 building. <br /> CONTACT INFORMATION <br /> OWNER NAME: Boeing Everett Facility TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 3003 West Casino Road <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE: (206)949-0714 OWNER EMAIL: <br /> CONTRACTOR NAME: VECA Electric & Technologies <br /> CONTRACTOR ADDRESS: STREET 5614 - 7th Ave S P.O. Box 80467 <br /> CITY Seattle STATE WA ZIP 98108 <br /> CONTRACTOR PHONE: 206-459-5912 CONTRACTOR EMAIL: Daniel.Jordan@veca.com <br /> CONTRACTOR LIC.#(REQUIRED): VECAECI542MU CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 004945 <br /> PRIMARY CONTACT: ❑ OWNER El CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: Cole Gates CONTACT PHONE: 206-794-7501 <br /> CONTACT EMAIL: Cole.Gates@veca.COr <br /> AGREEMENT.-T 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 <br /> type 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 /> FEE <br /> PERMIT# <br /> Owner/Authorized Agent Signatur- Date (Revised 10/12/2015) <br />