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ELECTRICAL PERM T. .,APPLU ATIt ` <br /> CITY OF EVERETT PERMIT'SERVICES;` <br /> 3200 CEDAR STREET;EVERETT,WA 98201 <br /> (P)425=2574810 I FAX 425=2574857 1 (E)eVeretteps@everettwa.gcnr'� wwweverettvvagoviperrnits,. <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 2515 74th st se <br /> BUILDING AREA(if residential,new construetion,remodel Or addition)' . . SF <br /> BUILDING TYPE: CI SFR-DETACHED, 0 SFR-ATTACHED 0 DUPLEX: Cl MULTI-FAMILY-#()F UNITS: ®COMMERCIAL <br /> USE OF BUILDING: Lift Station 19 <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE-OF WORK:,$ 500 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? Cl YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable} <br /> DESCRIPTION OF WORK: 2 hour load test on new generator <br /> CONTACT INFORMATION <br /> OWNER NAME City of Everett TENANT'NAME(If Commercial): <br /> OWNER MAILING.ADDRESS: ST EET 2515 74 st-:St? <br /> art:Everett: STATE WA' zip 98203 <br /> OWNER PHONE: 425.28a-1510 OWNER EMAIL: <br /> CONTRACTOR NAME: Currtmins Inc <br /> CONTRACTOR ADDRESS: 'sum 1500 Fryar Ave <br /> trr Sumner STATE: A 98390' <br /> CONTRACTOR PHONE:425-277-5343 coNTRACTO.R:EMA1L demvsteesom@cummillexerri <br /> CONTRACTOR LIC.#(REQUIRED): CUMM11*85504 CITY-OF EVERETT BUSINESS LIC.#(REOUIREDI:049303 <br /> PRIMARY CONTACT: C7 OWNER ®CONTRACTOR CI OTHER(Please.Specify.) <br /> CONTACT NAME: CONTACT PHONE: 425-277-5343 <br /> CONTACT EMAIL:Dan.wasssorn@ urnmins corn <br /> AGREEMENT theraby ceittfy thatt have read and examined this application andknowthe same Jobe tele and correct.-.AU prodiSions of Jaws_and ordinances gaveming this type <br /> of work will be completed whether specified herein or not The:sgrant ng ora permadoes not piesumeto give authority to•viOfate or cancel the(m:wsions of any other state or. <br /> local law regulating construction or the performance of construction, That I am,anthoused by the owner,of this property to perform the.worh for which application is Made and:I <br /> comply lelfth the:Slate.Contractor.La y fa 27 RCW and 298400 WAC., <br /> City of.Everett OfficialUse-OnI y <br /> PERMIT <br /> Owner/Au ized.t gant Signal Date (Revised 9123/2016) <br />