4027 4TH ST SE 2020-08-27 - Laserfiche WebLink

OLT ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 1 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 l FAX 425-257-8857 l (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 4027 4TH ST SE BUILDING AREA(if residential,new construction, remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ® COMMERCIAL USE OF BUILDING: WASTEWATER TREATMENT PLANT ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 125,000 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES m NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 2018 BLANKET MAINTENANCE PERMIT CONTACT INFORMATION OWNER NAME: CITY OF EVERETT TENANT NAME(If Commercial): EWPCF OWNER MAILING ADDRESS: STREET 3002 WETMORE AVE I ,,, EVERETT STATE WA ZIP 98201 1 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: OWNER CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: G2I OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-257-8232 MATT CHRISTIE CONTACT EMAIL: MCHRISTIE@EVERETTWA.GOV 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 z 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 slate 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. 1 City of Everett Official Use Only I PERMIT# L. .? .<,-t,-....,,,v I/l c 11 ,v E l -DV-4. Owner/Authoriited Agent Signat ire Date (Revised 9/23/2016) 1