3001 HEWITT AVE 2018-05-17 - Laserfiche WebLink

�ECTRICAL PERMIT AP�ICATION 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 PROJECT SITE INFORMATION PRo�ECT,cooRess: 3001 Hewitt Avenue BUILDING AREA(if residential, new construction, remodel, or addition) 10,000 SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: m COMMERCIAL usE oF aui��wc: Appliance Stor� ELECT •ICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: 4,800.00 NUMBER OF DEVICES (if low v Ita e): 26 FIRE ALARM? ❑YES m NO ASSOCIATED BUILDING PERM #(if licable): DESCR�PTION OF WORK: Provide and Install/Terminate Voice and & Data Cabling. CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commer ial): Judd & Black OWNER MAILING ADDRESS: srREET 3001 Hewitt Ave ,,/ �,n Everett STATE WA �J Z,P 98201 OWNER PHONE: (425� 255-2591 OWNER EMAIL: N/A CONTRACTOR NAME: DIIll211SIOIlaI COCT1111UI11CatIOI1S CONTRACTOR ADDRESS: srReeT 1220 Anderson Road c,,,, Mount Vernon STATE WA ziP 98 - CONTRACTOR PHONE: 360-424-6164 CONTRACTOR EMAIL: tOrlg p�d1171211SI0naI.Cl@t � coNrRACTOR uc.#�REQuiRE��: DIMENC1110QA CITY OF EVERETT BUSINESS LIC.#(REQUIR ): PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) � CONTACT NAME: CONTACT PHONE: 36�-424-6"I64 Tori Gaumond coNTacT eMai�:torig@dimensional.net 'a" 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 comp/eted whether specified herein or not. The granting of a permit does not presume to give authority to violate or cance/the provisions of any other state or loca/law regulating construction or the performance of construction. That 1 am authorized by the owner of this property to perform the work for which 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 �._._ � � > 2 o za�T E �� Owner/Authori d A ent Signatur ate (Revised 9/23/2016)