7200 HARDESON RD 2020-01-29 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION y4 CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 7200 Hardeson Rd BUILDING AREA(if residential, new construction,remodel, or addition) SF BUILDING TYPE: ❑SFR-DETACHED D SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS, m COMMERCIAL USE OF BUILDING: I ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 1800.00 NUMBER OF DEVICES(if low voltage): .............. .. FIRE ALARM? ❑YES ®NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Disconnect and reconnect 4 air handlers ��y/ 2- '-til 0 2- Z2-lr` CONTACT INFORMATION OWNER NAME:Aramark TENANT NAME(If Commercial): • OWNER MAILING ADDRESS: STREET 7200 Hardeson Rd ciTr Everett STATE WA ZIP 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: H&M Electric CONTRACTOR ADDRESS: STREET PO Box 799 ----- p� CITY Marysville STATE WA ZIP 1 3270 CONTRACTOR PHONE: 360-658-0501 CONTRACTOR EMAIL: shannonS@hmelec.com / CONTRACTOR LIC.#(REQUIRED): HMELEI*077KR CITY OF EVERETT BUSINESS LIC.#(REQUI Li, ): 039193 PRIMARY CONTACT: ❑OWNER QJ CONTRACTOR ❑OTHER(Please Specify) _ CONTACT NAME: CONTACT PHONE: 360-658-0501 Troy Boggess CONTACT EMAIL:troyb@hmelec.com 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 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 stale 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# f ,1 E \,q- .2_ - -(, , O)dr etIAuthoriz:,.Agent -•,ture--' "" Date (Revised 9/23/2016) A-