3202 20TH ST WSDOT 2018-04-16 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION 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 l www.everettwa.gov/permits a\� \\`�\ gill' PROJECT ADDRESS: 3202 20th St, Everett. WA 98201 BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ®COMMERCIAL USE OF BUILDING: WSDOT Everett Signals CONTRACT PRICE OF WORK: $ 22,535 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES ® NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Upgrade interior and exterior lighting to LED - 147 fixtures to be upgraded OONTA T 1 " ATION�� 1r OWNER NAME: TENANT NAME(If Commercial):WSDOT- attn Annie Morris OWNER MAILING ADDRESS: STREET 15700 Dayton Ave North CITY Shorline STATE WA ZIP 98133 • OWNER PHONE: OWNER EMAIL:MOrrisAW©wsdot.Wa.gov CONTRACTOR NAME: Northwest Edison CONTRACTOR ADDRESS: STREET 19804 141st PL NE CITY Woodinville STATE WA ZIP 98072 CONTRACTOR PHONE: 509-828-9885 CONTRACTOR EMAIL: rossm@nwedison.COm CONTRACTOR LIC.#(REQUIRED): NORTHE1983RD CITY OF EVERETT BUSINESS LIC.#(REQUIRED):50699 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 509-828-9885 Ross Mansfield CONTACT EMAIL:rossm@nwedison.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 PERMIT# cee Id �I E �(661 ' 011 Owner/Authorized Agent Signature Date (Revised 9/23/2016)