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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERE i PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> .(P)425-257-8810 I FAX 425-257-8857 (E)everettepsOpverettwa.gov I wvvw.evereftwa,govlpermits <br /> y;,-,,,,vvemmnvvgdeqot' <br /> alta`ZWAMY/kIfitVaNtfgagrAtiga-,,;;tit <br /> PROJECT ADDRESS: 6301 36th Ave W <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED Q SFR-ATTACHED 0 DUPLEX 0 MULTI-FAM1LY-'#OF UNITS: COMMERCIAL <br /> USE OF BUILDING: Manufacturing <br /> `k•':1#11.1t"0:"'c'; ;"-"' ill-MiVisforznarfigrzoomv4,w4s4.4,::-, <br /> CONTRACT PRICE OF WORK:$ Approx$12,000 <br /> NUMBER OF DEVICES(if low Voltage): <br /> FIRE ALARM? 0 YES la NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Install "peen" machine, dust collectors, etc. <br /> ()INNER NAmE:Valence Surface Technologies TENANT NAME(If tottrnerclaI): <br /> OWNER MAILING ADDRESS: STREET 6301 36th Ave W <br /> Everett <br /> orry STATE wa96203 <br /> ZIP <br /> OWNER PHONE; Gory Mograw jovvNea emAR.:corMcgrawevalencestcom,,,,,, <br /> CONTRACTOR NAME: Tesla Electric LW <br /> CONTRACTOR ADDRESS: STREET P.O Box 7066 <br /> cny Bonney Lake STATE WA zip 98391 <br /> CONTRACTOR PHONE: 253-229-7285 CONTRACTOR EMAIL: sPencerateslaelectricwa•com <br /> CONTRACTOR *REQUIRE:T. EC TESLA8-849DC crrt,OF EVERETT BUSINESS LIC.CREOUIRE0): 83710G <br /> PRIMARY CONTACT: DOWNER 10 CONTRACTOR 0 OTHER(PleaseSpecify) <br /> CONTACT NAME: CONTACT PHONE 253-229-7285 <br /> Spencer Tomlinson CONTACT EMAIL spencer@teslaelectricwa.corn <br /> AGREEMENT:I hereby certify that!have read and examined this application and know the same te be true andconect. All ploWtiona of laws and Ordinances governing this type <br /> of work wilt be completed whether specified herein or not, The granting of a pernst does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulatingzonstruction 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! <br /> comply with the State Contractors Law 18.27 ROW and 295.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> • <br /> E‘40-3711f <br /> en, piked Agent signature ate (Revised 9/23/2015) <br />