1812 EVERETT AVE COLUMBIA BANK 2021-08-12

ELECTRICAL PERMIT APPLICATION 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$9-ft' vereft Avenue Everett WA 98201 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-4 OF UNITS: 0 COMMERCIAL USE OF BUILDING: Columbia Bank ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 1400.00 NUMBER OF DEVICES if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: Installing 4 LED Pendant lights in the interior of the Columbia Bank building. CONTACT INFORMATION OWNER NAME: TENANT NAME(if Commercial): Columbia Bank OWNER MAILING ADDRESS: STREET 1810 Everett Avenue Everett WA 98201 ,, Everett STATE WA zip 98201 OWNER PHONE: 4253031800 1OWNER EMAIL: CONTRACTOR NAME: Lumenal Lighting CONTRACTOR ADDRESS: STREET 21706 66th Ave West Ty Mountlake Terrace sTATF WA 7_lp 98043 CONTRACTOR PHONE: 4254815001 _CONTRACTOR EMAIL: service@Iumenal.com CONTRACTOR LIC,#(REQUIRED): LUMENLL864LW ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): #052486 PRIMARY CONTACT: 0 OWNER IZ CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE; 425-481-5001 L DeWayne Simpson CONTACT EMAIL: service@lumenal.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 16.27 RCIN and 296.200 WAC. City of Everett Official Use Only PERMIT# E Owner/Authbrized Agent Signature Date (Revised 912312016)