1315 PACIFIC AVE 2018-12-17 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1325 Pacific Ave # B BUILDING AREA(ft residential, new construction, remodel,or addition)Commercial SF BUILDING TYPE: ❑ SFR-DETACHED ❑SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 400 NUMBER OF DEVICES (if low voltage): 12 FIRE ALARM? 0 YES El NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Installation of a low-voltage, wireless burglar alarm system CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): Ricardo Velasco OWNER MAILING ADDRESS: STREET 1325 Pacific Ave#B ciTv Everett STATE WA zip 98201-4234 OWNER PHONE: (360) 509-6588 OWNER EMAIL: rvelaSCO1 102@hotmaiI.COm CONTRACTOR NAME: Vivint, Inc. CONTRACTOR ADDRESS: STREET 4931 North 300 West C,TY Provo STATE UT zip 84604 CONTRACTOR PHONE: (877)479-1667 CONTRACTOR EMAIL: CustomerpermitS@vivint.com CONTRACTOR LIC.#(REQUIRED): VIVINI894BZ CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 0452 PRIMARY CONTACT: m OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT.'I hereby certify that t have read and examined this application and know the same to be true and correct All provisions of lays 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 • /';<-- i7 PERMIT#ln ' ' /o/3` / Fb I ( D IL OwnerlAu#horized Agent Signature Date (Revised 9/23/2016) i'.