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/174%.r-1 <br /> ELECTRICAL PERMIT APPLICATION <br /> MdWICITY 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: 415 Riverside Rd <br /> BUILDING AREA(if residential, new construction, remodel, or addition)85,000 SF <br /> BUILDING TYPE: 0 SFR-DETACHED ❑ SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: El COMMERCIAL <br /> USE OF BUILDING: Manufacturing <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 18,500.00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES βœ“β‘ NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): None <br /> DESCRIPTION OF WORK: 23 cord drops; Additional 5 twist lock receptacles in R & D Room <br /> CONTACT INFORMATION <br /> OWNER NAME: Zodiac Aerospace TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 415 Riverside Rd <br /> CIT Everett STATE WA ZIP 98201 <br /> OWNER PHONE: NA OWNER EMAIL: NA <br /> CONTRACTOR NAME: Associated Electric <br /> CONTRACTOR ADDRESS: STREET PO BOX 280 <br /> cls. Snohomish STATE WA ZIP 98291 <br /> CONTRACTOR PHONE: 424-334-1955 CONTRACTOR EMAIL: bandersOn@assOciatedelectriC.net <br /> CONTRACTOR LIC.#(REQUIRED): ASSOCECO88NL CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 58067 <br /> PRIMARY CONTACT: 0 OWNER El CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-334-1955 <br /> Brent L Anderson CONTACT EMAIL: banderson@associatedelectric.net <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 /> iSi/C.)//8 -7 <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />