6623 EVERGREEN WAY UNION BANK 2018-10-12

RECTRICAL PERMIT AP*ICATION 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: 6623 Evergreen Way 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: Bank ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORKC• 9000.00 NUMBER OF DEVICES (if low v Itage): 28 / FIRE ALARM? ❑YES m ASSOCIATED BUILDING PERMIT# I applicable): DESCRIPTION OF WORK: Mechanical controls, including lighting through EMS Control panel CONTACT INFORMATION OWNER NAME: Union Bank TENANT NAME(if Commercial): Union Bank OWNER MAILING ADDRESS: STREET 6623 Evergreen Way CITY Everett STATE WA Z1R 98203 OWNER PHONE: 425-356-2150 OWNER EMAIL: N/A CONTRACTOR NAME: MBE Electric LLC CONTRACTOR ADDRESS: STREET 12002 SE 91 st ST CITY Newcastle STAT_ WA zip 98056 CONTRACTOR PHONE: 253-332-4072 CONTRACTOR EMAIL: mbeelectric@hotmall.com CONTRACTOR LIC.#(REQUIRED): MBEELEL4780Q CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 053568 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 253-332-4072 Mike Buch CONTACT EMAIL: mbeelectric@hotmail.com AGREEMENT:I hereby certify that/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 7 PERMIT# Owner/Authorized Agent Signature Date (Revised 9/23/2016)