9911 23RD AVE SE 2021-12-15 - Laserfiche WebLink

RECTRICAL PERMIT APPLICATION 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 I www.everettwa.gov/permits ALA ICATION INQRMA'�L .. CONTRACT PRICE OF WORK: $ 339,474.00 NUMBER OF DEVICES if low voltage): FIRE ALARM? ❑ YES ONO ASSOCIATED BUILDING PERMIT # if applicable): DESCRIPTION OF WORK: Electrical & Scada Improvements CONTACT INFORMATION OWNER NAME: Silver Lake Water District TENANT NAME (If Commercial): OWNER MAILING ADDRESS: STREET 15205 41 st Ave SE CITY Bothell, STATE WA ZIP 98012 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Service Electric Co., Inc. CONTRACTOR ADDRESS: STREET P.O. BOX 1489 c,TY Snohomish STATE WA Z,P 98291 CONTRACTOR PHONE: 360-568-6966 CONTRACTOR EMAIL: Sharon@Secoinc.COm CONTRACTOR LIC. #(REQUIRED): SERVIEC564RU CITY OF EVERETT BUSINESS LIC. #(REQUIRED): 29064 PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Sharon Card CONTACT PHONE: 360-568-6966 EXt #201 CONTACT EMAIL: Sharon@secoinc.com AVKttMLN I: I hereby certify that/ 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/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. S" &.14 12-21-17 Owner/Authorized Agent Signature Date City of Everett Official Use Only PERMIT # E ( ), I ?., (Revised 912312016)