3726 BROADWAY OMNI CONTRACTING SOLUTIONS LLC 2018-04-19

ELECTRICAL PERMIT APPLICATION 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 PRQJEGT SIT�'INFORMi4TiQN PRo�Ecr,a��REss: 3726 BROADWAY SPACE 108 BUILDING AREA(if residential, new construction, remodel, or addition)2000 SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: �COMMERCIAL USE OF BUILDING: OFFICE ELECTRIGAk.�[M�PL�C�ITION It+��f�M4AA,T�taN ` CONTRACT PRICE OF WORK: $ 20,000.00 NUMBER OF DEVICES if low volta e : FIRE ALARM? ❑YES � NO ASSOCIATED BUILDING PERMIT# if a licable : DESCRIP710N OF WORK: IN TI SPACE -ADDING (20) 120V OUTLETS; (10) 120V SWITCHES; REHANG 34 LIGHTS � � Ct�NT1�CT`1NFORMATION � � �� OWNER NAME: GAMUT 360 TENANT NAME(If Commercial) CQVI��i((�"'y�/ OWNER MAILING ADDRESS: srREET 3726 BROADWAY SUITE 301 cin. EVERETT STATE WA ziP 98201 OWNER PHONE: 4Z5-2�2-22�0 OWNER EMAIL: CONTw4CTOR NAME: ROBS ELECTRIC INC coNTRa,croR A��REss: STREET 4405 103RD AVE SE c„-., LAKE STEVENS STATE �NA z�P 98258 CONT�CTOR PHONe: 425 334 6834 coNTRacTOR Ennai�: ROB@ROBSELECTRICINC.COM CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): O25'I45 PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR �l7 OTHER(Please Specify) OFFICE CONTACT NAME: CONTACT PHONE: 425 334 6H34 MICHELLE coNTACT eMAi�: MICHELLE@ROBSELECTRICINC.COM AGREEMENT:1 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 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# MD KEOUGH 12/1 /17 E I`� Z� Q� Owner/Authorized Agent Signature Date (Revised 9/23/2016)