1631 RUCKER AVE 2017-06-29 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits PR�JECT SITE INFt)RMATION PROJECT ADDRESS: �63� RUCKG'f AVe BUILDING AREA(if residential, new construction, remodel, or addition)2500 SF BUILDING TYPE: � SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL usE oF Bui��iN�: Residential ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 4,460 NUMBER OF DEVICES if low volta e : � FIRE ALARM? ❑YES � NO ASSOCIATED BUILDING PERMIT# if a licable : NA DESCRIPTION OF WORK: installation of Iv automated gate equipment to existing gate on site/power existing by others adding 1 altered circuit with the low voltage CONTACT tNF�RMATION OWNER NAME: Bill MCCUIIOCh TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srReeT 1631 Rucker Ave �,�., Everett sTATE WA z,P 98201 OWNER PHONE: 206-999-29�2 OWNER EMAIL: bIII.f11CCUIIOCII@I71aC.COf71 corvrRa,cTOR NaME: Automated Gates and Equipment Co. CONTRACTOR ADDRESS: sTReEr 10847 E Marginal Way S �,T, Seattle sTATE WA Z,P 98168---� � "� CONTRACTOR PHONE: 206-767-9080 CONTRACTOR EMAIL: fT111(@ q�8@g8t@S.00171 coNTwacTOR�ic.#�REQuiREo�: AUTOMEC033RD CITY OF EVERETT BUSINESS LIC.#(REQU ED): O24H7Z �' PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) _- CONTACT NAME: CONTACT PHONE: 206-767-9OHO Devisie Melik coNT,acT eMAi�: devisie@aegates.com AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and conect. AI!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 pertormance of construction. That I am authorized by the owner of this property to pertorm the work for which application is made and 1 comp/y with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Officia/Use Only PERMIT# Mike Pishue 05/12/17 E l`�-o� —�� g Owner/Authorized Agent Signature Date (Revised 9/23/2016)