1604 HEWITT AVE BLUME KEENEY 2017-05-24

ELECTRICAL PERMIT APPLICATION E 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: 1604 Hewitt Ave, Suite 616 Everett WA� 98201 I BUILDING AREA(if residential, new construction, remodel, or addition) � (�a3 SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ® COMMERCIAL USE OF BUILDING: Office ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ � ,0 0 a NUMBER OF DEVICES (if low voltage): 9 FIRE ALARM? ❑YES m NO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: Running 17 new cables to 9 locations CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Interface Technologies NW CONTRACTOR ADDRESS: STREET 6825 216th St SW CITY Lynnwood STATE WA ZIP 98036 CONTRACTOR PHONE: 425 774-1377 CONTRACTOR EMAIL: dylanm@interfacetechnw.com CONTRACTOR LIC.#(REQUIRED): INTERTN858DS CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 040924 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425 328-4292 Dylan Manning CONTACT EMAIL: dylanm@interfacetechnw.com AGREEMENT:1 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 1 am authorized by the owner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only ,r PERMIT# Ow er/Authorized Agent Signature Date (Revised 9/23/2016)