Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> OL 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> y c(4 -PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:10500 : 9 S Everett,"WA 98204 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) 0 SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: [Z]COMMERCIAL <br /> uSE OF BUILDING:Campbell Nissan of Everett <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $1000.00 <br /> NUMBER OF DEVIL S (iNow voltage):1 <br /> FIRE ALARM? S NO <br /> ASSOCIATED BU)IDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: Installation of an AES Radio communicator with Intellitap to replace existing phone lines. <br /> CONTACT INFORMATION <br /> OWNER NAME: Campbell Nissan TENANT NAME(If Commercial): Campbell Nissan <br /> OWNER MAILING ADDRESS: STREET 10500 Hwy 99 S <br /> CITY Everett STATE WA zIP 98204 <br /> OWNER PHONE:(206)605-6642 OWNER EMAIL: <br /> CONTRACTOR NAME:Washington Alarm <br /> CONTRACTOR ADDRESS: STREET 2030 Airport Way S <br /> CITY Seattle STATE WA ZIP 98134 <br /> CONTRACTOR PHONE:206-436-5301 CONTRACTOR EMAIL:Permits@washingtonalarm.com <br /> CONTRACTOR LIC.#(REQUIRED):WASHIA1282C3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):025389 <br /> PRIMARY CONTACT: OWNER I ONTRACTOR ✓ THER(Please Specify) Permit coordinator <br /> CONTACT NAME: CONTACT PHONE:206-436-5301 <br /> Manny O rn e l a s 1CONTACT EMAIL:Permits@washingtonalarm.com <br /> AGREEMENT:T hereby certify that l have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this <br /> 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 <br /> 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 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> PERMIT# <br /> _ o E <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br /> C. y <br />