1302 BROADWAY 2018-09-24 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 (E) everetteps@everettwa.gov www.everettwa.gov/permits l�'E'rINFb'RIVIATION z , „- PROJECTADDRESS: 1302 Nar-KBrciadway Ave BUILDING AREA(if residential, new construction,remodel,or addition)1000 SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: ® COMMERCIAL USE OF BUILDING: 7-Eleven//1_N1\ , CONTRACT PRICE OF WOR 600 NUMBER OF DEVICES if low v tag FIRE ALARM? ❑YES O ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Addition of Energy management system for remote monitoring capabilities. A 24 x 24 gray automated logic enclosure with ddc controllers inside. CONTACT INFORMATION OWNER NAME:CGI- TENANT NAME If Commercial): 7-Eleven OWNER MAILING ADDRESS: STREET 376 EI Edcanto ,,,T., Pasadena STATE CA zip 91107 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Sunbelt Controls CONTRACTOR ADDRESS: STREET 1000 Sw 34th St suite a c,T•renton STATE wa zip 98057 CONTRACTOR PHONE: 206.992.9149 CONTRACTOR EMAIL: dmitchell@sunbeltcontrols.COm CONTRACTOR LIC.#(REQUIRED): SUNBECI854P2 CITY OF EVERETT BUSINESS LIC.#(REQUIRED);050085 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206.992.9149 David Mitchell ICONTACT EMAIL:dmitchell@sunbeltcontrols.com AGREEMENT/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 1 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# E 1gC2 Owner/Authorized Agent Signature Date (Revised 9/23/2016)