923 100TH ST SE 2018-04-06 - Laserfiche WebLink

41E77- ECTRICAL PERMIT A (CATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:923 100th ST SE(BRANYAN HALL UPS)EVERETT WA 98208 BUILDING AREA(if residential,new construction, remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED❑ SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY- #OF UNITS: ❑x COMMERCIAL USE OF BUILDING: Logistic Terminal ELE TRICAL APPLICATION INFORMATION CONTRACT PRICE OF WO- :$800.00 NUMBER OF DEVICES(if low oltage): n/. FIRE ALARM? 0 YES NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 615168—ADD(1)20 AMP CIRCUIT TO REMOTE LOCKERS CONTACT INFORMATION OWNER NAME: USA TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 10601 COUNTY RO 10 CITY MIDDLEBURY STATE IN ZIP 46540 OWNER PHONE: 574.825.0484 (OWNER EMAIL: BRIANSLACKII@GMAIL.COM CONTRACTOR NAME:VECA ELECTRIC AND TECHNOLOGIES CONTRACTOR ADDRESS: STREET 3950 HAMMER DRIVE CITY BELLINGHAM STATE WASHINGTON ZIP 98226 CONTRACTOR PHONE: 360.5946288 CONTRACTOR EMAIL: Maria.bella@veca.com CONTRACTOR LIC.#(REQUIRED):VECAEC1542MU ICITY OF EVERETT BUSINESS LIC.#(REQUIR D):004945 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR L] OTHER(Please Specify)SERVICE ELECTRICIAN CONTACT NAME:JOSH GOODING CONTACT PHONE:206.518.1223 CONTACT EMAIL:JOSH.GOODING.COM AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws 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 I am authorized by the owner of this property 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 Official Use Only 1111 1110 r't 4 PERMIT# .. .. - ,�. -511< / EroS -- 0 -" 3 Owner/A ,ed Agent Signature Date (Revised 9/23/2016)