1700 13TH ST 2021-04-22 - Laserfiche WebLink

CTRICAL PERMIT APWICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1700 13th St: Everett WA 98201 BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: I] COMMERCIAL USE OF BUILDING: hospice care renter ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 2282.50 NUMBER OF DEVICES if low voltage): 1 FIRE ALARM? ❑YES ❑x NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Provide conduit run from existing conduit at under hang of entrance. Run conduit up and around eve, provide a j-box and connection to new sign. Provide photo-cell if needed.Job#817245 CONTACT INFORMATION OWNER NAME: Providence Medical Center-Colby Campus TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREEi 1700 13th St cin. Everett STATE WA zip 98201 OWNER PHONE: 425-261-2000 OWNER EMAIL: CONTRACTOR NAME: VELA Electric CONTRACTOR ADDRESS: STREET 5614 7th Ave S a7Y Seattle STATE WA ZIP 98108 CONTRACTOR PHONE: 206-436-5200 CONTRACTOR EMAIL: paul.hauck@veca.corn CONTRACTOR LIC.#(REQUIRED): VECAECI542Mt1 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 004945 PRIMARY CONTACT: ❑ OWNER ® CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: Paul Hauck CONTACT PHONE: 206-940-8980 CONTACT EMAIL: Paul hauck@veca.com AGREEMENT:Thereby 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 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE — <W i ` D , PERMIT# Owner/Authorized Agent Si ature Date (Revised 10/12/2015)