3800 RIVERFRONT BLVD 2024-08-02 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3800 Riverfront Blvd. BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: C COMMERCIAL USE OF BUILDING: Outside Gate ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 17,000.00 NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES 451 NO ASSOCIATED BUILDING PERMIT#(if applicable): Public Works Permit PW 1803-036 DESCRIPTION OF WORK: Provide electrical work for gate install. CONTACT INFORMATION OWNER NAME: Polygon WLH LLC, TENANT NAME if Commercial): OWNER MAILING ADDRESS: sTREET 11624 SE 5th. St.Suite 200 CITY Bellevue STATE \VA z,a 98005 OWNER PHONE: 425-586-7700 OWNER EMAIL: CONTRACTOR NAME: Bayview Electric CONTRACTOR ADDRESS: STREET 11777 Water Tank Rd. Suite A CITY Burlington STATE WA z,, 98233 CONTRACTOR PHONE: 360-707-0535 CONTRACTOR EMAIL: jenniferd@bvelectric.net CONTRACTOR LIC.#(REQUIRED): BAYVIEL954NK ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): 054268 PRIMARY CONTACT: ❑OWNER ID CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360-707-0535 Aarika Clinger CONTACT EMAIL: aarikaw@bvelectric.net AGREEMENT,T hereby certify that I have read and examined this application and know the same to be true and correct. AN 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 FEE ��6e' DD PERMIT# E 1�04- YwnjeAuthor Agen Signature Date (Revised 10/1212015) I I