11127 EVERGREEN WAY 2017-10-20 - Laserfiche WebLink

11LECTRICAL PERMIT APTLI ATI C ON CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, INA 98201 (P)425-257-8810 ' FAX 425-257-8857 ( (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 11127 Evergreen Way Everett WA 98204 BUILDING AREA(if residential, new construction,remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: IN COMMERCIAL _d USE OF BUILDING: BECU ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 8,900 NUMBER OF DEVICES if low voltage): FIRE ALARM? CI YES UYNO ASSOCIATED BUILDING PERMIT#(if ap licable DESCRIPTION OF WORK: Replacing 6 Open/Close Signs and 1 LED fixture.All exterior on the BECU building. CONTACT INFORMATION OWNER NAME: TENANT NAME(if Commercial): BECU OWNER MAILING ADDRESS: STREET 11127 Evergreen Way Everett WA 98204 CITY STATE ZIP OWNER PHONE: OWNER EMAIL: BECU CONTRACTOR NAME: Lumenal Lighting CONTRACTOR ADDRESS: STREET 21706 66th Ave West CITY Mountlake Terrace STATE WA zip 98043 CONTRACTOR PHONE: 425-481-5001 CONTRACTOR EMAIL: Seivice@Lumenal.com CONTRACTOR LIC.#(REQUIRED): LUMENLL864LW CITY OF EVERETT BUSINESS LIC.#(REQUIRED): #052486 PRIMARY CONTACT: I]OWNER Q CONTRACTOR 13 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-481-5001 DeWayne Simpson CONTACT EMAIL: Service@Lumenal.com AGREEMENT,T hereby certify that t have read and examined this application and know the same to be true and correct. All provisions of taws 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 t am authorized by the owner of this property to perform the work,'or which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296:200 WAC. City of Everett Official Use Only FEE PERMIT# Owner/Authq'zeA.fC"gent Signature date (Revised 10/1212015)