4526 FEDERAL AVE COMPASS HEALTH 2020-02-25

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 ,' r PROJECT SITE INFORMATION 4j�a PROJECT ADDRESS: ,6 / eS3 042 09L A VIE BUILDING AREA(if residential,new construction, remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Office_ fit l L Ut(46- ELECTRICAL el6-ELECTRICAL APPLICATION INFORMATION ti CONTRACT PRICE OF WORK: $ !1 s'vv �v NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES c ri110 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: /_ XTE.NALS- la )t'►drl,.(r6,- 6-1 itca,,-rs FD A CCoM$'4o 4 7I AL( RAI L. DEMO C.- CL4 yrs $N✓JDew; � LIL4-cis CONTACT INFORMATION • OWNER NAME: Q 4,t1j%5S 14 did LrLL TENANT NAME(If Commercial): Same OWNER MAILING ADDRESS: STREET 'lc)._ 1 /R4i2,4ivFL 14027- CITY v47..01.'r ri STATE 4/0 ZIP /812 03 OWNER PHONE: ,2 j^34/- r.,2 OWNER EMAIL: CONTRACTOR NAME: Dahl Electric, Inc. CONTRACTOR ADDRESS: STREET 3409 McDougall Ave ciTY Everett STATE WA ZIP 98201 CONTRACTOR PHONE: 425-252-1700 CONTRACTOR EMAIL: dstevens@dahlelectriC.com CONTRACTOR LIC.#(REQUIRED): DAHLEE1926QD CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 037024 PRIMARY CONTACT: 0 OWNER ®CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360-661-0511 Dan Stevens CONTACT EMAIL:dstevens@dahlelectric.com AGREEMENT:I 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 I am authorized by the owner of this property to perform the work for which application is made and/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# 1O— (-7-1 Owner uthorized Agent Signature Date (Revised 9/23/2016)