Laserfiche WebLink
� � <br /> ELECTRICAL PERMIT APPLICATtO►N <br /> CITY OF EVERETT PERM)T SERVICES <br /> 320Q CEDAR STREET, EVEFtETT, WA 98201 <br /> (P}425-257-$810 � FAX 425-25�-8857 � (E) everetteps@everettwa.gov� www,everettwa.gov/permits <br /> ��01 PROJECT SITE INFaRMAT101+1 <br /> PRo�ecr aooRess-�8-86�41 st street <br /> BUIE.DING AR�A(if residential,new canstruction, rert�odel,or addition) SF <br /> BUILOING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: �ZI COMMERCIAL <br /> us�oF aui�oiNc: Lift Stat[on #43 <br /> EI.ECTRtGAL APPLIGATION tNFORMATION <br /> CONTRACT PRICE OF WORK:$ 4D0 <br /> NUMBEtt Q� DEVIGES if law volta e}: 1 generator <br /> FIRE ALARM7 ❑YES �NO <br /> ASSOCtATED BUILDING PERMIT# if a licable}: <br /> DESCRIPTtON OF WORK: 2 hour ioad bantc test on a new install 150KW generatvr <br /> CCINTACT iNFQRMATION <br /> OWNER NAME: Ct�y Of EV2rett TENANT NAME If Commerciai : <br /> QWh1ER MAILING AD[]RESS: ST���r 2880 41 st street <br /> cm Ev�Tett sr�re �/a nP 98201 <br /> OWNER PHQNE: 425-760-4043 QWNER EMAIL: <br /> CC7NTRAC70i2 NAME: CUtilfTtlll5 II1C <br /> CONTRACTQR ADDRESS: srReer 81� SW Gfady W8y <br /> �,TM Renton srAre WA Z,P 98057 <br /> CONTRACTOR PHONE: 42b-277-5343 coNrr�cTOR enna��: Dan.wassom@cumr�ins.cam <br /> CONTRACTOR LIC.#{RE�UIRED): Cl1MM1I"S53C4 CITY OF EYERETT BU�iNESS LtC.#(REQUlREO}: <br /> PRlMARY CpNTACT: ❑(�Vr/�yER QJ CQNTRAGTOR ❑QTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 4��j_27�_5343 <br /> Daniel Wassom coNract�MAi�:Dan.wassflm@cummins.corr► <br /> AGREEMENT.�t hereby cenrly fhat t have read and ezamined this appJiratlon and know the same to be true and cnrrect ANprovisions otlaws artd ardrrrances gqveming this rype <br /> o!woric wrl7 be wrrrplefed whether speci�iEd herein or nof. The granrrng ot a pem,it does nor presUme ta give av2hor+ry co vrotate or cancel the prov+sions otany other sta!e or <br /> tocal I�4v regulating Constructron or!he perlormance of Construc#ian. That 18m author'aed by ihe owner of this propeRy to pertorm!he wo�tc/or which applicatiffn is raade and� <br /> comply wiYh the Stata Corrtractors Lawv t8.27 IRCW and 296.200 WAC. <br /> Gty of Everett O�cr�1 Use QnJy <br /> PERMIT# <br /> � �.�t ��-�—,-- a�� -� E <br /> Owner! thorized Agent Signature Rate � (Revised�l23120�SJ <br />