5920 GLENWOOD AVE 2018-06-07 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION /111P•4/. i - CITY OF EVERETT PERMIT SERVICES 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 PROJECT SITE INFORMATION PROJECT ADDRESS: 5920 Glenwood Ave, Everett, WA 98203 BUILDING AREA(if residential, new construction,remodel,or addition)10,178.00 SF BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX ❑MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Everett Fire Department Station 4 ELE'TRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: 2,553.00 NUMBER OF DEVICES(if low vol :ge): 1 FIRE ALARM? 0 YES ;i NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Install Locution System in equipment room, run wire for Data Cat 5 CONTACT INFORMATION OWNER NAME: City of Everett TENANT NAME(If Commercial): Everett Fire Department OWNER MAILING ADDRESS: STREET 2930 Wetmore Ave,Attn; Facilities crry Everett STATE WA zip 98201 OWNER PHONE: 425 257 8956 OWNER EMAIL:joneil@everettwa.gov CONTRACTOR NAME: Day Wireless Systems CONTRACTOR ADDRESS: STREET PO Box 22169 cm Milwaukie STATE OR zip CONTRACTOR PHONE: 503-659-1240 CONTRACTOR EMAIL: electrical@daywireless.com CONTRACTOR L1C.#(REQUIRED): DAYWIWS850JM CITY OF EVERETT BUSINESS LIC.#(REQUIRE ):051441 PRIMARY CONTACT: 0 OWNER r4 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 503_659-1240 Penni Bean CONTACT EMAIL:electrical@daywireless.com AGREEMENT:!hereby certify that t 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 gNe authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That f am authorized by the owner of this properly to perform the work for which application is made and! comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only • PERMIT if • Penni Bean 2/16/18 E lscsr2„ —t(42, Owner/Authorlzed Agent Signature Date (Revised 9/23/2016)