4027 4TH ST SE WWTP GATES 2017-03-08

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 PROJECT SITE INFORMATION PROJECT ADDRESS: 4027 4th St SE, Everett WA 98201 BUILDING AREA(if residential, new construction, remodel, or addition) remodel 2500 SF BUILDING TYPE: E SFR-DETACHED D SFR-ATTACHED 0 DUPLEX ❑ MULTI-FAMILY-#OF UNITS. ® COMMERCIAL USE OF BUILDING: Vehicle parking lot ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 10,659 NUMBER OF DEVICES (if low voltage): 1 FIRE ALARM? 0 YES m NO ASSOCIATED BUILDING PERMIT#(if applicable): NA DESCRIPTION OF WORK: LV installation and automation of existing automated gate system/ power by others CONTACT INFORMATION OWNER NAME: City of Everett TENANT NAME(If Commercial): NA OWNER MAILING ADDRESS: STREET 3200 Cedar Street #5 ciTv Everett STATE WA ZIP 98201 OWNER PHONE: Mike 425-220-6274 OWNER EMAIL: mrobinson@everettwa.gov CONTRACTOR NAME: Automated Equipment Co CONTRACTOR ADDRESS: STREET 10847 E Marginal Way S C,Ty Seattle STATE WA ZIP 98168 CONTRACTOR PHONE: 206-767-9080 CONTRACTOR EMAIL: mike@aegateS.com CONTRACTOR LIC.#(REQUIRED): AUTOMECO33RD CITY OF EVERETT BUSINESS LIC.#(REQUIR ): 024872 PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-786-0408 Mike Pishue CONTACT EMAIL: mike@aegates.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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERIN-# Mike Pishue 10/04/16 E �� ( O —009 Owner/Authorized Agent Signature Date (Revised 9/23/2016)