Laserfiche WebLink
CTRICAL PERMIT AP.ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECTE INFORMA' '© <br /> wan �.� SITr � <br /> s <br /> PROJECT ADDRESS: 6605 MERRILL CREEK PARKWAY <br /> BUILDING AREA(if residential,new construction,remodel,or addition)ROOFTOP SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: SHIN NIPPON B 0,, DICAL LABORATORIES <br /> 'ELECT • ICAL APPLICATION INFORMATIO <br /> CONTRACT PRICE OF WORK: 35,000 <br /> NUMBER OF DEVICES (if low vo tage): 14 <br /> FIRE ALARM? 0 YES = 0 <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: DDC Controllers for(12) Rooftop Units, (1)Main DDC Controller Enclosure, (1) DDC Meter Control Enclosure <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Comm cial): <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: MACDONALD MILLER FACILITY SOLUTIONS <br /> CONTRACTOR ADDRESS: sTREEr 7717 DETROIT AVE SW <br /> cry SEATTLE STATE WA zip 98 <br /> CONTRACTOR PHONE: 206-768-4130 CONTRACTOR EMAIL: PERMITS@MACMILLER.COM <br /> r <br /> CONTRACTOR;LIC."#(RE IUIRED): MACDOMF972BF CITY OF EVERETT.BUSINESS LIC.#(REQUIR 040665 <br /> !PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-643-4527 <br /> SERGEY FESKOV CONTACT EMAIL:SERGEY.FESKOV@MACMILLER.COM <br /> AGREEMENT:I hereby certify that t have read and examined this application and know the same to be true and correct. Ail provisions of laws and ordinances governing this type <br /> 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 <br /> 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 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> i <br /> City of Everett Official Use Only <br /> 7 PERMIT# <br /> '` r� ` 9 ....- 23c, <br /> • net/Authorized Agent Signatu Date (Revised 9/23/2016) <br />