Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 ( (E)everetteps@everettwa.gov� www.everettwa.gov/permits <br /> PROJECT SITE;INFORMATION <br /> PRo�ecT aooRess: 8500 EVERGREEN WAY, EVERETT, WA 98208 <br /> BUILDING AREA(if residential,new construction,remodel,or addition)TENANT IMPROVEMENTSF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED �DUPLEX ❑MULTI-FAMILY-#OF UNITS: m COMMERCIAL <br /> USE OF BUILDING: BAN K <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 20,000 <br /> NUMBER OF DEVICES if low volta e : 5 <br /> FIRE ALARM? ❑YES �NO <br /> ASSOCIATED BUILDING PERMIT# if a licable : <br /> �eSCRiPTioN oF woRK: Remove existing Pkg unit controls and replace with AutoMatrix controllers. This will <br /> include various sensors, current transducers, control transformers, and connective control wiring.Add a Jade <br /> supervisory controller and I/O module. This will include control transformers, various sensors, (3) relays, and <br /> connective control wiring. Replace the lighting control panel to interface with the new supervisory controller. The <br /> panel will include (3) lighting relays and (2) current sensors. <br /> CONTACT INFORMATION <br /> OwNER NAME: BANK OF AMERICA TENANT NAME(If Commerciaq: BANK OF AMERICA <br /> OWNER MAILING ADDRESS: s-rRee-r 101 NORTH TYRON STREET <br /> cir. CHARLOTTE srAr� NC ZiP 28255 <br /> OWNER PHONE: OWNER EMAIL: <br /> coNTRacTOR Nanne: MECHANICAL&CONTROL SERVICES <br /> coNrRacroR a��Ress: S�EET 6426 18TH STREET EAST <br /> ci-n FIFE srAre WA zia 984 <br /> CONTRACTOR PHONE: 253-926-9777 CONTRACTOR EMAIL: .JOHNM q�GROUPMCS.COM <br /> coNTwacroR uc:#�ReQuiREo�: MECHACS882JE CITY OF EVERETT BUSINESS LIC.#(REQUIRED) <br /> PRIMARY CONTACT: ❑OWNER f,a CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 253-831-4446 <br /> JOHN MERRILL coNTac-r ennAi�:�OHNM@GROUPMCS.COM <br /> AGREEMENT:l hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances goveming this type <br /> 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 staEe or <br /> local law regulafing construction or the performance of construction. That I am authonzed by the owner of this property to perform the work for which application is made and I <br /> comp/y with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett O�cia/Use On/y <br /> PERMIT# <br /> � �2- 1�- ��-- E � �O 1 � O 3� <br /> Owner/Authorized Agent Signature Date (Revised 923/2016) <br />