1604 HEWITT AVE UBS 2017-08-18 - Laserfiche WebLink

• 0 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 SITS INF`60MATION PROJECT ADDRESS: UBS Financial Services 1604 Hewitt Ave, 6th Floor, Everett, WA 98201 BUILDING AREA(if residential, new construction, remodel, or addition) 3,200 SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ®COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 16, 00 NUMBER OF DEVICES if low voltage): 117 FIRE ALARM? ❑YES ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: Low Voltage Communication Cabling CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): UBS Financial Services OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Evergreen Technologies Inc CONTRACTOR ADDRESS: STREET 3623 East Marginal Way S CITY Seattle STATE WA zip 98134 CONTRACTOR PHONE: 206-774-1363 CONTRACTOR EMAIL: mcan@evergreentec.com CONTRACTOR LIC.#(REQUIRED): EVERGT1929K9 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 050182 PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: Meryem Can CONTACT PHONE: 206-774-1363 CONTACT EMAIL: mcan@evergreentee.com AGREEMENT:Thereby 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 FEE PERMIIT#,,( M2 12/14/2016 E l�`�` 2 `'O Owner/Autt4rized Agent Signature Date (Revised 10/12/2015)