Laserfiche WebLink
i <br /> �CTRICAL PERMIT APi�.�ATIDN � <br /> CITY OF EVERETT PERMIT S�RViCES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> {P)425-257-8810 � FAX 426-257-8857 � (E)everetteps@everettwa.gov ( www.everettwa.gov/permits <br /> ::.::...::.:.....:..... ,. .... . <br /> ...:�: .:..�.. .: ,.:.:... . ...... .. .. :..... <br /> ... .. ...: ..,. <br /> ..:. . ..... <br /> :.....:...:..:.. .:::. ...: . <br /> .:...:.................. . . ,. .. <br /> ;.�:,:,.:.,;..,::; :,PROJECT:SITE:INF�RMA�rt1O:N,;:::.� � � ��. ... :. <br /> PRQJ�CT ADDRES3: 1803 112tI1 St SE <br /> BUILDING AREA(if residential,new construction,remodel,or addition} SF <br /> BUILDIN�3 TYPE: ❑SFi�-DETACHED �SFR-ATTACHED ❑ DUPL�X ❑MULTI-FAMILY-#OF UN1TS: �COMMERCIAL <br /> 1 <br /> use oF aui�a�H�: Bank-ATM ; <br /> � <br /> ..:.. ....:.:. :. .... ..... .....: <br /> . <br /> ........ . . . : <br /> � ;- : ' ' ` : ' 'E�ECTRICAL A�PLICAtION:,lN��:RMATION'.;' <br /> CONTR.ACT PRICE OF WORK: $ 500 <br /> NUMBER OF DEVICES ff low vaEta e : <br /> FIRE ALARM? ❑YES �NO <br /> ASSOCIATED BUILDING PERMIT# if a Ifcable : <br /> DESCRIPTEON OF WORK: DisconnecUreconnect ATM, same feed same circuit no aiteratians <br /> ; : ; , . C <br /> � . <br />` `:<'.: �.: ° ... .::. ... .::.:`;. `':;�`>; ONTAC.T:.INF.QRMATION ,.., ;: . .' • . ,. :: . <br /> OWNER NAME: Ba�k of America - TENANT NAME If Commercial : <br /> OWNER MAILING ADDRESS: STREET 1803 112th St SE <br /> Cm EV@f@tt STATE WA ZIP 9SZOS <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: SeaTac Electric <br /> CONTRACTOR ADDRESS: srneer 7056 S0.220th St <br /> ��n, Kent srAre WA ziP Sg032 <br /> CONTRAC7bR PHONE: 253-&72-5553 CONTRACTOR EMAfL: dawn.lanz@seatacelectric.00111 <br /> CONTRACTOR LIC.#(REQUIRED}: SEATAE1077RW CITY OF EVERETT BUSINESS LIC.#(REt�UIREb): Q33037 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑07HER(Please Specify) <br /> CONTACT NAME: COFITACT PHONE: 253-872-5553 <br /> Dawn Lanz CONTACT EAAIUL:dawn.lanz�seatacelectric.com <br /> AGl7EEMElVT.�!hereby ce►ti!y that 1 heve read and examinect this appHcetiorr anri know the seme to be true and correcf. A1J pravisions oftaws and ordinances goveming this type <br /> of wark wr1J be completed whefher specliled hereln or not The grenling of a permft does not presume to g�ve authorlty to v!olate or cance!fha provlstons of any other state or <br /> locat!aw regulating construcfron or the performence of constructfon. That f am auihor/zed try the owner of thls prope�fy to pe�(wm the work fa wh/ch appiication fs made and I <br /> camply wifh fhe State Contractors Law 18.27 RCW and 296.20U WAC. <br /> Clfy of Everett Offlciai Use On/y <br /> PERMIT# <br /> �����. t E I� l l- ��� <br /> Ownet/Authorizad Agent Signa e Date {Revlsed 9/23/2076) <br />