3620 BROADWAY VERIZON 2018-09-06

#1111/4%//-74 ELECTRICAL PERMIT APPLICATION '400CITY 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: Cp '7X 2jD b C J4 BUILDING AREA(if residential, new construction, remodel,or addition)3,800 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: COMMERCIAL TENANT SPACE ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 45,000.00 NUMBER OF DEVICES (if low voltage): NONE Y R&S ELECTRIC FIRE ALARM? ❑YES ❑ NO/ ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: NEW CONSTRUCTION BUILDING WITH 400 AMP SERVICE WITH 4 TENANT METERS, WARM SHELL HEATING, INTERIOR LIGHTING, FLOOR BOXES, EXTERIOR LIGHTING CONTACT INFORMATION OWNER NAME: VAN WINKLE PROPERTIES LLC TENANT NAME(If Commercial): CELLULAR SALES-VERIZON OWNER MAILING ADDRESS: STREET PO BOX 598 cin, EVERETT STATE WA ZIP 98206 OWNER PHONE: 425.508.7506 OWNER EMAIL: DARLA@STADIUMFLOWERS.COM CONTRACTOR NAME: R&S ELECTRIC CONTRACTOR ADDRESS: STREET 18820 SMOKEY POINT BLVD SUITE B CITY ARLINGTON STATE WA zip 98223 CONTRACTOR PHONE: 360.659-1361 CONTRACTOR EMAIL: ddimascio@r-selectric.com CONTRACTOR LIC.#(REQUIRED): RSELE"022QZ CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 034455 PRIMARY CONTACT: 0 OWNER El CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.268-2013 DAN DIMASCIO CONTACT EMAIL: ddimascio@r-selectric.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. ,9 City of Everett Official Use Only PERMIT# E Owner/Authorized Agent Signature date ' (Revised 9/23/2016)