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

• �, OLT ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2201 100TH ST SW BUILDING AREA(if residential, new construction, remodel, or addition)500 SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ® COMMERCIAL USE OF BUILDING: GLASS MFG CO. ELECTRICAL APPLICATION'IlifoRMATIO CONTRACT PRICE OF WORK: $ 9400 NUMBER OF DEVICES (if low voltage): 9 FIRE ALARM? 0 YES ® NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: EQUIPMENT CONNECTION TO(3) 1/4HP DRILL MOTORS RATED @ 208V, INSTALLING(3) E-STOPS PB, (1) START/STOP PB, MOTOR CONTACT AND 30A 600V NEMA1 DISCONNECT FED FROM (1) 30A 3POLE CKT. CONTACT INFORMATION OWNER NAME: AD SOLUTIONS, INC dba AD SYSTEMS TENANT NAME(If Commercial): SAME OWNER MAILING ADDRESS: STREET 2201 100TH ST SW CITY EVERETT STATE WA ZIP 98204-1451 OWNER PHONE: 425-374-1360 OWNER EMAIL: Shane.RobertS@allegion.com CONTRACTOR NAME: SME INC OF SEATTLE CONTRACTOR ADDRESS: STREET 828 POPLAR PL S crry SEATTLE STATE WA ZIP 98144 CONTRACTOR PHONE: 206-391-2141 CONTRACTOR EMAIL: LynetteS@SmeincofSeattle.com CONTRACTOR LIC.#(REQUIRED): SMEINS*066DB CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 030205 PRIMARY CONTACT: ❑OWNER VI CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-255-6456 PATRICK HOUGHTON CONTACT EMAIL: Lynettes@smeincofseattle.com 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. "A 'S � City of Everett Official Use Only PERMIT# 01 -29-2019 E k& D I- 11 1 Owner/Authorized Agent Signature Date (Revised 9/23/2016)