2801 HEWITT AVE EMERALD CITY SOLUTIONS 2017-05-24

ECTRICAL PERMIT A[ _ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2801 Hewitt Ave Everett, WA 98201 BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: v( OMMERCIAL USE OF BUILDING:Special Construction Trade Services ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $4,000 NUMBER OF DEVICES (if low voltage): 1 FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: Manufacture and install (1) new double faced illuminated blade sign CONTACT INFORMATION OWNER NAME: ECkstrom Thomas & Joan TENANT NAME(If Commercial):Emerald City Solutions OWNER MAILING ADDRESS: STREET PO Box 1 386 CITY Everett STATE WA ZIP 98206 OWNER PHONE:(425) 609-1 91 1 1 OWNER EMAIL:teckstrom@beltconsulting.com CONTRACTOR NAME:Pacific Sign Erectors CONTRACTOR ADDRESS: STREET 9792 Edmonds Way STE 172 CITY Edmonds STATE WA ZIP 98020 CONTRACTOR PHONE:206-427-2278 CONTRACTOR EMAIL:paclficsignerectors@msn.com CONTRACTOR LIC.#(REQUIRED):PACIFSE965CK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ✓ THER(Please Specify) Subcontractor Metrosign CONTACT NAME: CONTACT PHONE: (206) 427-2278 Jamie Za rets ky CONTACT EMAIL:jamie@metrosignseattle.com AGREEMENT T 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 l comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE 120 PERMIT# Owner/Authorized Agent Signat e Date (Revised 10/12/2015)