4632 FOWLER AVE 2018-01-31 - Laserfiche WebLink

�ECT'RICAL PERMIT APF�CATION 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 PROJECT SITE INFORMATION PRo�EcrAooRess: 4632 Fowler Ave Everett Wa. 98203 BLDG L. BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL usE oF Bui��iN�: Multi Famil ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 5189 NUMBER OF DEVICES if low voltage : 2 FIRE ALARM? ❑YES ❑NO ASSOCIATED BUILDING PERMIT# if applicable : DESCRIPTION OF WORK: 2 Cat6 Cabl@, 1 access door controller & 1 electronic strike CONTACT INFORMATION OWNER NAME:WOOCIIIaVefl Apal'tlllleiltS TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srREEr 4632 FOWI@r AVe �,n Everett STATE Wa Z,P 98203 OWNER PHONE: 4Z5-569-$77O OWNER EMAIL: CONTRACTOR NAME: SkyIICI@ COtlllllUtllCatIOC1S If1C CONTRACTOR ADDRESS: srReeT 12002 Beverly Park Rd. �,n Everett ST,,TE Wa Z,P 98201 coNrwacTOR PHONe: 425-355-1593 CONTRACTOR EMAIL: Summer.Sherriff@Skylinecommunications.net coNr�croR uc.#�REQuiREo�: SKYLIC1933Q7 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):4�O57 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 42�j-35�j-�593 Summer Sherriff coNTacTennAi�:summer.sherriff@skylinecommunications.net AGREEMENT:I here6y certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances goveming this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authonty to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That I am authonzed by the owner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett O�cial Use Only � PERMIT# , 1� �O Ir E � � � ( � �� Owner/Authorize gent Signature Date (Revised 9/23/2016J