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

ACTRICAL PERMIT APPOCATION 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: 1 700 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: ® COMMERCIAL USE OF BUILDING: Hospital ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 2850 NUMBER OF DEVICES (if low voltage): 7 FIRE ALARM? ❑YES IR NO ASSOCIATED BUILDING PERMIT# (if applicable), DESCRIPTION OF WORK: Low Voltage HVAC Controls and Demolition of Existing Wiring CONTACT INFORMATION OWNER NAME: Providence Medical Center TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREEr 1700 13th St. CITY Everett STATE_WA ZIP 98201 OWNER PHONE: 425-261-2000 OWNER EMAIL: CONTRACTOR NAME: Foy Group CONTRACTOR ADDRESS: STREET 2400 NW 80th St. CITY Seattle STATE WA ZIP 98117 CONTRACTOR PHONE: 206-937-6150 CONTRACTOR EMAIL: Charlle.l@foygroup.net CONTRACTOR LIC.#(REQUIRED): FOYGRGC863LK ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): 044569 PRIMARY CONTACT: ❑OWNER N CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: Charlie Leese CONTACT PHONE: 206-402-1056 CONTACT EMAIL: Charlie.I@foygroup.net 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE PERMIT# �-y�— 12/3/15 V Owner/Authorized Agent Signature Date (Revised 10/12/2015)