4632 FOWLER AVE 2018-01-31 - Laserfiche WebLink

�ECTRICAL PERMIT APP�`ICATION 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�ecr,aooREss: 4632 Fowler Ave Everett Wa. 98203 BLDG 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: L Cat6 CBble, 1 access door controller & 1 electronic strike CONTACT INFORMATION OWNER NAME:WOOCJIIaV@fl Apal'�I71ef1tS TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREEr 4632 Fowler Ave �„-,, Everett STATE Wa Z,P 98203 OWNER PHONE: 425-569-$77O OWNER EMAIL: CONTRACTOR NAME: SI(�/Ilfl@ COC1lIllUfllCatlOflS IC1C coNT�,croR ao�REss: sTREET 12002 Beverly Park Rd. �„,,Everett STATE Wa Z,P 98201 coNTRacTOR PHONE: 425-355-1593 CONTRACTOR EMAIL: Summer.Sherriff@Skylinecommunications.net coNrwacTOR�ic.#�REQuiRE�>: SKYLIC1933Q7 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):4�O�J7 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-355-�rj93 Summer Sherriff coNrAcrEnn,v�:summer.sherriff@skylinecommunications.net AGREEMENT:I hereby certify that I have read and examined thrs application and know the same to be frue and correct. AlI provisrons 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 loca/law regulating construction or the performance of construction. That I am authonzed by the owner of this properfy 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 O�cial Use Only PERMIT# E �i I ( �J�a '. A / Ow er/Authorized Agent Signature D e (Revised 9/23/2016)