2201 100TH ST SW AD SYSTEMS 2022-03-07

• • 41Err" ELECTRICAL PERMIT APPLICATION 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: 2201 100th St SW Everett WA 98204 BUILDING AREA(if residential, new construction, remodel, or addition) addition SF 20,000 BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: C$COMMERCIAL USE OF BUILDING: Manufacturing �-- -� r ELECTRI AL APPLICATION INFORMATION CONTRACT PRICE OF WORK: 9,000.00 NUMBER OF DEVICES (if low v tage): 18 FIRE ALARM? ❑YES ® NO ASSOCIATED BUILDING PERM! if a 'cable): DESCRIPTION OF WORK: Installation of Voice and Data cable CONTACT INFORMATION OWNER NAME: AD Systems TENANT NAME(If Commercial): AD systems OWNER MAILING ADDRESS: STREET 2201 100th St SW CITY Everett STATE WA ZIP 98204 OWNER PHONE: 425-374-1360 OWNER EMAIL: CONTRACTOR NAME: Castle Cable Inc CONTRACTOR ADDRESS: STREET PO Box 71 CITY Mukilteo STATE WA ZIP 98 CONTRACTOR PHONE: 425-334-2750 CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CASTLCI878LK CITY OF EVERETT BUSINESS LIC.#(REQUIR D): 026811 PRIMARY CONTACT: ❑OWNER n CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-334-2750 Gordon Stewart CONTACT EMAIL: gordy@castlecable.net 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 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# 4.12.18 E 093 Owner/Authorized Agent Signature Date (Revised 9/23/2016)