6525 HARDESON RD ROYAL BUILDING PRODUCTS 2018-10-11

04/23/2016 16:21 FAX 425 377 1976 REX ELECTRIC 0 001 ELECTRICAL PERMIT APPLICATION 4M77- CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 E FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.goWperm its PROJII!CT SITE INFORMATION PROJECT ADDRE88: , BUILDING AREA(If residential, new construction, remodel,or addition) 'r, f CC $F BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX D MULTI-FAMILY-#OF UNITS' COMMERCIAL USE OF BUILDING: x 5 Ida ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ NUMBER OF DEVICES if low voltage): FIRE ALARM? El YES NO ASSOCIATED BUILDING PERMIT K applicable):— DESCRIPTION linableDESCRIPTION OF WORK: VP✓7rek CONTACT INFORMATION OWNER NAME: D () TENANT NAME If Commercial): OWNER MAILING ADDR $S: STRPrT CfTY "TATS Zip OWNER PHONE: — E'j OWNER EMAIL: CONTRACTOR NAME:Rex Electric Sarvlce Inc. CONTRACTOR ADDRESS:11112 18th ST NE L—P, -v-+ ✓•"&'�jvi< "TATE 7 CONTRACTOR PHONE:426-4221744 CONTRACTOR EMAIL:rdeckaftmall.com CONTRACTOR LIC. REXELE3962N4 CITY OF EVERE17 BUSINESS LIC.#o4s748 9 PRIMARY CONTACT: IP OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME;Robin Rieck,s CONTACT PHONE rriacka fDgmall.com 14 CONTACT EMAIL: 4 q M.�-I Iczwl AGREEMENT.,Thereby corft that I/Hyp road and axoralned thle appllcayon end know the same to be true and correct. rAL4 I1aW3 end o�naneea poveminQ th/a type of work will be completed whetherspocmed twWn or not. The pranNnp of a poh it does notprrauma to"audmdry to ylolatp or cancel the provisions of any other state or Ixel taw roml#Vnp consmxtton or tha performance of construction. That I em audwrf od by the owner ofWx property to pertbrm me work for WNM ApOcatfon is mode and I comply with the State Contractors Law 18.27 RCW and 288.200 WAC. Ci y of Everett Offlcht Use On FEE d l PERMIT r!f zg E 105' 0021 OwnarlAuthorfzod Agent SI Data (Reused tcvfa✓zofe)