5700 23RD DR W 2018-06-28 - Laserfiche WebLink

*27 LECTRICAL PERMIT AOLICATION 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: 5700 23RD DR W BUILDING AREA(if residential,new construction, remodel,or addition)14826 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: El COMMERCIAL USE OF BUILDING: EDUCATION ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 900 NUMBER OF DEVICES (if low voltage): 12 FIRE ALARM? 0 YES El NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: PROVIDE AND INSTALL (12) NEW THERMOSTATS CONTACT INFORMATION OWNER NAME:NORTHSHORE CHRISTIAN CHURCH TENANT NAME(If Commercial): NORTHSHORE CHRISTIAN ACADEMY OWNER MAILING ADDRESS: STREET 5700 23RD DR W cry EVERETT STATE WA ZIP 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: GB SYSTEMS INC CONTRACTOR ADDRESS: STREET7202 NE 175TH ST CITY KENMORE STATE WA ZIP 98028 CONTRACTOR PHONE: 425-482-0584 CONTRACTOR EMAIL: JAEMINY@GBS-HVAC.COM CONTRACTOR LIC.#(REQUIRED): GBSYSI* ODS 6 On C—M. CITY OF EVERETT BUSINESS LIC.#(REQUIRED):042666 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-482-0584 JAEMIN YOO CONTACT EMAIL:JAEMINY@GBS-HVAC.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# 6/26/2017 E 7o � -� � Owner/Authorized Agent Signature Date (Revised 9/23/2016)