Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 982Q1 <br /> (P}425 257-8810 � FAX 425-257-8857 � (E)everetteps(�everetfuwa.gov� www.everetiwa.gov/permits <br /> PRQJBCT SlTE INFORMATION <br /> PROJECT ADDRE33: 910 SE EVERETT MALL WAY STE 101 , EVERETT, WA 98208 <br /> BUILDING AREA(if res�dential,new construction,remodel,or addition)���80 SF <br /> BUILDING TYPE: �SFR-DETACHED O SFR-ATTACHED ❑DUPLEX O MUL71-FAMILY-#OF UNITS: m COMMERCIAL <br /> U3E OF BUILDING: 659 Other Professional Services NEC <br /> ELECTRICAL APRLICATION INFORMATION: <br /> CONTRACT PRICE OF WORK:$ 1,000.00 <br /> NUMBER OF DEVICES if low volta e: 31 <br /> FIRE ALARM? �YES �NO <br /> ASSOCIATED BUILDIN�i PERMR# a licable: <br /> DESCRIPTION OF WORK: Instaliation of 31 low volta e voice and data cables. <br /> CONTACT 1NFORMATtON <br /> OYYNER NAME:H R B TAX GROUP INC TENAN7'aAME If Commerclal: H�R Block <br /> OWNER MAILING ADDRESS: six�r ONE H 8 R BLOGK WAY <br /> cm �N�AS CITY ��� MO � 64105 <br /> OWNER PHONE: OWNER EMAIL.: <br /> CONTRACTOR NAMB: Bradley Botteron-Wachter, INC. <br /> CONTRACTOR ADDRES3: sta�r 16001 West 99th ST <br /> �,n Lenexa �r,,,� KS �a 66219 <br /> CONTRACTOR PHONE: (913)227-3911 coNrw►c�roR eNwt�: Pem►itRe uest(a�Wachter.com <br /> ot�rrw►cTOR uc. REQUlRED: EC WACHT!*904KL CITY OF EVERETT BUSINESS UC. �auiRm: �43582 <br /> PRIMARY CONTACT: ❑OWNER �CONTRACTOR �OTHER(Please Specify) <br /> COMTACT NAME: CONTACT PHONE: (913)227-3911 <br /> Samantha Thomas ca�,racr EMa�permitRe�uest@wachter.cam <br /> AGREEMEMT•1 hBrebYcerHN that 1 have re8d end examined tlJs app6ce11on ar�d know dia same to be frue 8nd ooneCG A�provisians o(lawa and adlnances gmre►nin9 dNs fype <br /> ol wovk wIg be oompleted wAetherspec!lfed hereln ornot The grant/ng afa penp�lt does rwtpresume to ghre authorlly to viWale acanreithe provisfions o/ar�yotl►er st�e or <br /> wear�ewreguraa„�co�srn�rron or a,e petio►,nenae aca�rruc�or►. Thet 1 am euH�olhed by the OwnelOfthts pmp9lty t0 pe�rtOn7�the wti!!c fol whkh 8pplkeHOn IS r►18de 8nd! <br /> com�y wra,�,e srare connactas caw ra.s>>zcwana z�ioo wac <br /> Clty of Evereft Offkfal Uae ONy <br /> PERMIT# <br /> � 2 E 1711-020 <br /> ownerla o signawre (Revlsed 9/23/20181 <br />