1510 BROADWAY 2018-06-07 - Laserfiche WebLink

#111°. !LECTRICAL PERMIT AP (CATION CITY OF EVERETT PERMIT SERVICES vadwi- 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits tea\ \\\ \ PROJECT ADDRESS: 1 510 Broadway Everett 98201 BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: m COMMERCIAL USE OF BUILDING: OReilly Auto Parts Store a�� , x, , a.�x4 ,a� \,� .aaa..a'� k\\ W CONTRACT PRICE OF WORK: $ 800 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES El NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Relocate cash register counters and electrical for test bench. $1� :y� \ \ \ \ r��t� ct iRMR, OWNER NAME: TENANT NAME(If Commercial): Oreillys Auto Parts OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: H&M Electric CONTRACTOR ADDRESS: STREET PO Box 799 CITY Marysville STATE WA ZIP 98270 CONTRACTOR PHONE: 360-658-0501 CONTRACTOR EMAIL: troyb@hmelec.com CONTRACTOR LIC.#(REQUIRED): HMELECI*077KR CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 039193 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360-658-0501 Troy Boggess CONTACT EMAIL:troyb@hmelec.com 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 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# Shannon Schwartz 5.21 .2018 E aOS- '5( Owner/Authorized Agent Signature Date (Revised 9/23/2016)