1700 13TH ST 2023-04-07 - Laserfiche WebLink

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: 1700 13th St Everett, WA 98201 BUILDING AREA(if residential,new construction,remodel,or addition) NSF BUILDING TYPE: ❑SFR DETACHED 0 SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Hospital ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 1500 NUMBER OF DEVICES(if low voltage):6 FIRE ALARM? D YES ®NO ASSOCIATED BUILDING PERMIT#;(if applicable);_ DESCRIPTION OF WORK: Convert 6 pneumatic damper actuators to low voltage DDC control actuators.Job#831862 CONTACT INFORMATION OWNER NAME:Providnece Hospital TENANT NAME(If Commercial):Providence OWNER MAILING ADDRESS: srrEeT 1700 13th St eny Everett STATE WA zip 98201 OWNER PHONE: 425-261-2000 .1OWNER EMAIL: `CONTRACTOR NAME: EC Company CONTRACTOR ADDRESS: sTir6412 S 196th St Kent STATE WA,,,; zP 98032 CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): ECCOM**148BA CITY OF EVERETT BUSINESS LIC.#(REQUIRED):051774 PRIMARY CONTACT: D OWNER la CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-412-3005 Charles Myers CONTACT EMAIL:Charles.Myers@ecpowerslife.com AGREEMENT:k hereby certify that k have read and examined this application and know the same to be true and co►rect. 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 consbuctfon or the performance of construction. That k am authorised by the owner of this property to perform the work for which application is made and I comply with the State Contracto,s Law 18.27RCW and 298.200 WAC. City of Everett Official Use Only PERMIT# (iX(./6 E \tc262,, r-r-7 hors Agent Signature Date (Revised 9/23/2018) a.