Laserfiche WebLink
• • <br /> 0011111P- ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps©everettwagov I www.everettwagov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 7710 Evergreen Way Everett, WA 98203 <br /> BUILDING AREA(if residential, new construction,remodel,or addition)14660 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 123 COMMERCIAL <br /> USE OF BUILDING: Education <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 11,345.00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): t42 <br /> ou_A <br /> DESCRIPTION OF WORK: Adding outlet for drinking fountain,wiring in Egress lighting in corridors, running power to fire alarm panel <br /> CONTACT INFORMATION <br /> OWNER NAME:Lane Properties LLC TENANT NAME(If Commercial): Fellowship Christian School <br /> OWNER MAILING ADDRESS: STREET 10515 Evergreen Way <br /> Everett SAL WA zip 98204 <br /> OWNER PHONE: 425-551-4970 OWNER EMAIL:tlane©dwaynelane.com <br /> CONTRACTOR NAME: D & E Electric, Inc, <br /> CONTRACTOR ADDRESS: ,, 74220 166th Ave East <br /> c,.,Lake Tapps STATE WA ZP 98391 <br /> CONTRACTOR PHONE: 253-891-4144 CONTRACTOR EMAIL: deelectric6792@comcast.net <br /> CONTRACTOR LIC.#iREQUIRED): DEELEI*039D6 CITY OF EVERETT BUSINESS LIC.#(REOUIREDi:053372 <br /> PRIMARY CONTACT: 0 OWNER 121 CONTRACTOR El OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 253-606-0877 <br /> Ed Jensen CONTACT EMAIL:edjensen58@corncasLnet <br /> AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. Ali provisions of laws and ordinances governing this type <br /> 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 <br /> 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 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> .2 '4 0• 2-5 <br /> City of Everett Official Use Only <br /> PERMIT,..# <br /> E 1 ()M - 13r <br /> 9-1 - / a- <br /> OwneriAuthorized A nt Signature Date (Revised 9/23/20/6) <br /> 1 <br />