3727 MCDOUGALL AVE 2016-10-20 - Laserfiche WebLink

To: Permit Services Page 2 of 2 • 2016-10-05 21:24:47 (GMT) 4257407 From: Jeffery E Olsen Preferred Elec Lorne ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 FAX 425-257-8857 1 (E) everettepsCaeverettwa.gov I tiwAv,everethma.gov(permits PROJECT ADDRESS: '� McDougall Ave. 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: Office & Warehouse IM 1b TRICAi: AE'k$t-IC �IkCl 4 I FDRM�."�ION, CONTRACT PRICE OF WORK: $ 250.00 (Temp Service - E ui ment on Loan NUMBER OF DEVICES (if low voltage): N/A FIRE ALARM? ❑ YES ® NO ASSOCIATED BUILDING PERMIT##(if applicable): DESCRIPTION OF WORK: -Temporary electrical service, 200 amps at 120/208 volts, single phase. E 8�9tAC't":t: 0000A1f'I I , OWNER NAME: Reliable Security, Inc. TENANT NAME(If Commercial): Same OWNER MAILING ADDRESS: sr= 3717 McDougall Ave CM Everett �;u.-,_ WA 98201 OWNER PHONE: 425.353.5312 OWNER EMAIL: CONTRACTOR NAME: Preferred Electric CONTRACTOR ADDRESS: STAR=T PO Box 77120 CM„ Seattle ST,-E WA 98177 CONTRACTOR PHONE: 360.435.2277 1CONTRACTOR EMAIL: lorne@preferredelectric.us CONTRACTOR LIC.ffiIIZEQUIRED): PREFEE1925PL ICITY OF EVERETT.BUSINESS LIC.#(REQUIRED): 047656 PRIMARY CONTACT: ❑,OWNER IN CONTRACTOR 0 OTHER(P(ease Specify) CONTACT NAME: CONTACT PHONE.- 425.422.4715 Kirk Wallitner ICONTACT EMAIL, kirk@preferredelectric.us Avr2c LiVI_IL'!- I'he!eby Cett,Fl that 7 have read.and exemir;ed this app, a6on and..knov,iha same to be tree and c.rrect. AU prv.isrens o;'aws and orrJrnances governing this type of work r+i!be ccmc/e:ed,vhethar sp<crnecj herein or not. The gra d,.,-7'of o pa—r i do .5c,presume to give autho,t.y'tt violate or car,ce/;7_provi�ions of any ott� ,s:'ate or local iaty r quiating cc^stnrCLcn or t�2.partorrrarra a;cons:!trcron. Tr er. �rZA r�.t;.» F-ce tl,.s, opc t toprf zha�vori ,`p•s✓htcf app;rcat%a ;s r ade and comply :c%.'h.the State Contractors Law 16.27!?CWand.296.200 bVP.C. Gty of Everett CYiciai Use Only FEE PERMIT.# 10/5/16 Owner/Authorized Agent Signature Date (Revised 77727277