1502 SE EVERETT MALL WAY BASE FILE 2018-05-16

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everetfinra.gov� www.everettwa.gov/permits �" r� �� Y.t;��E�T SITE INFORMATION PRo�ecT ao�Ress: 1502 SE Everett Mall Way BUILDING AREA(if residential,new construction, remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: m COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 3,780.00 NUMBER OF DEVICES if low volta e): 21 FIRE ALARM? ❑YES �NO ASSOCIATED BUILDING PERMIT#(if applicable : DESCRIPTION OF WORK: Installation of twenty-one (21)thermostats. CONTACT INFORMATION OWNER NAME: 3773 IIIVeStmefltS LLC. TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTReeT 433 N Camden Dr., SUIt@ $00 cin. Beverly Hills STATE CA ZiP 90210 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: EV21'gl'@@Il R@ff7g@fBtlOf1 CONTRACTOR ADDRESS: srReer 727 SOUtII Kelly011 St. cin. Seattle STATE WA ziP 98108 CONTRACTOR PHONE: 206-763-1744 CONTRACTOR EMAIL: aI@Xb Q'@V@I'gl'2@Cl{lVBC.COfYI CONTRACTOR LIC.#(REQUIRED): EVERGRL954R2 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 044350 PRIMARY CONTACT: ❑OWNER QI CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-763-1744 AIeX BUCICIIaI'� CONTACT EMAIL:aleXb@eVel'gl'2@t1hV8C.COt71 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 /ocal!aw regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for whicA application is made and l comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only �� PERMIT# � (�.l�-� E I� � ' �C�C� Owner/Authorized Agent Signature Date (Revised 9/23/2016)