1110 BROADWAY 2020-01-21 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps©everettwa.gov l www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1110 Broadway BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: la COMMERCIAL USE OF BUILDING; Office ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 20,000 NUMBER OF DEVICES(if low voltage): FIRE ALARM? D YES ®NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Full rewire of building using excisting service.New Lighting and Devices for office and storage area CONTACT INFORMATION ( ,uc — ( cz2.. OWNER NAME:Williams Investments TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2517 colby ave cTry everett STATE wa ZIP 98201 OWNER PHONE: 425-750-7926 OWNER EMAIL:Ryan@williamsinvest.com CONTRACTOR NAME: Brinc Electrical Services LLC CONTRACTOR ADDRESS: STREET 4290 W Chinden BLVD cm(Garden City STATE Idaho ZIP 83714 CONTRACTOR PHONE:425-244-5662 CONTRACTOR EMAIL: Curtisr r7r Callbrinc.Com CONTRACTOR LIC.#(REQUIRED).Cer1 e�.Sg —f (JCITY OF EVERE1T BUSINESS UC.#(REQUIRED):38390 PRIMARY CONTACT: D OWNER la CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-244-5662 Curtis CONTACT EMAIL:curtise@callbrinc.com AGREEMENT•t hereby certify that 1 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 l 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 98.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# kSoc, -0S5 Owner/Authorized Agent Signature Date (Revised 9/23/2096)