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4-577- 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 RD., EVERETT, WA 98292 <br /> BUILDING AREA(if residential, new construction, remodel, or addition)45-04 SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: BOEING PAINT HANGERS <br /> J EtititC">k"R CAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 66,000 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES ❑ NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: RELOCATE 30 RECEPTACLES. REPLACE EXISTING LIGHTS WITH NEW LE <br /> TROFFERS. JOB #2100025 <br /> BETWEEN COLUMNS S-U & 1-4 <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial): BOEING <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: PRIME ELECTRIC, INC. <br /> CONTRACTOR ADDRESS: STREET 13301 SE 26TH ST. <br /> cm BELLEVUE STATE WA ZIP 98005 <br /> CONTRACTOR PHONE: 425-747-5200 CONTRACTOR EMAIL: permits C©l primeeleCtrlC.COm <br /> rr <br /> CONTRACTOR LIC.#(REQUIRED): PRIMEE1134BT CITY OF EVERETT BUSINESS LIC.#(REQUIRED): ° <br /> PRIMARY CONTACT: 0 OWNER VI CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-429-4654 <br /> MIKE KINNEY CONTACT EMAIL: mkinney@primeelectric.com <br /> AGREEMENT/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 /> Agittitly$igned by Alan B Bruso City of Everett Official Use Only <br /> 1 DN.C=U;S, <br /> E®abrBSo@primeelectric.corn <br /> Alan B B ru -.s©oPrIme Electric,Inc", PERMIT# <br /> OU Pgrchasing Manager, <br /> CN=AlaOate:2rtB Bruso ` t-Oi -64 <br /> Date:2018.09.06 12:55:27-07'00' �L/U//-/ <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />