6133 LAKE CHAPLAIN RD 2020-03-09

4v477 ELECTRICAL PERMIT APFHICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 6133 Lake Chaplain Rd. Monroe Wa. 98272 BUILDING AREA(if residential, new construction,remodel,or addition)Plant wide SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ®COMMERCIAL USE OF BUILDING: Water Filtration Plant ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 200,000 . NUMBER OF DEVICES (if low voltage): FIRE ALARM? m YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Annual Maintenance CONTACT INFORMATION OWNER NAME: COE TENANT NAME(If Commercial): Water Filtration Plant OWNER MAILING ADDRESS: STREET 3200 Cedar Street CM( Everett STATE Wa. Z,P 98201 OWNER PHONE: 425-257-8200 OWNER EMAIL: kmorman@everettwa.gov CONTRACTOR NAME: -Owner- CONTRACTOR ADDRESS: STREET 3200 Cedar Street cnv Everett STATE Wa. ZIP 98201 CONTRACTOR PHONE: 425-257-8200 CONTRACTOR EMAIL: kmorman@everettwa.gov CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 111 OTHER(Please Specify) Ken Morman CONTACT NAME: CONTACT PHONE: 425-257-8208 Ken Morman CONTACT EMAIL: kmorman@everettwa.gov AGREEMENT*I hereby certify that t 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# 4/26/2018 E t 8.65- - 00 ner/Authorized Agent Signature Date (Revised 9/23/2016)