1118 80TH ST SW BASE FILE 2019-09-18

OETT ELECTRICAL PERMIT 1(FFPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov l www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1118 80th St Everett, WA 98203 BUILDING AREA(if residential, new constructionremodel, or addition)40 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ® COMMERCIAL USE OF BUILDING: Gen Add, not building ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 8,000.00 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES m NO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: Install Generator(200 amp Service)with 4 circuits CONTACT INFORMATION OWNER NAME: Summit Solutions Group TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET PO Box 1224 CITY Sisters STATE OR ZIP 97759 OWNER PHONE: 360-546-5155 OWNER EMAIL: remij@adkelectricinc.com CONTRACTOR NAME: ADK Electric Inc CONTRACTOR ADDRESS: STREET 9000 NE 90th St CITY Vancouver STATE WA ZIP 98662 CONTRACTOR PHONE: 360-546-5155 CONTRACTOR EMAIL: remij@adkelectricinc.corn Cyii/.�2�O ADKELEI*913R3 2662 11 �� CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIREDj'r PRIMARY CONTACT: 0 OWNER Q CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360-546-5155 Remi Johnston CONTACT EMAIL: remij@adkelectricinc.com AGREEMENT:1 hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this 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 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 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# 5/1 /18 E I'Pi 0-Li Owner/Authorized Agent Signature Date (Revised 9/23/2016)