902 N BROADWAY BASE FILE 2018-09-18

ELECTRICAL PERMIT AFLICATION /111:—A CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 902 N Broadway 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: 0 COMMERCIAL USE OF BUILDING: Retail ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 3,000.00 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Like in kind work on 7 (seven) unit roof-top HVAC safety switch disconnectors. CONTACT INFORMATION OWNER NAME:N A Prorerties INC TENANT NAME(If Commercial):Vacant OWNER MAILING ADDRESS: STREET 7524 SE 24th St#315 CITY Mercer Island STATE WA ZIP 98040 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Prima Electric CONTRACTOR ADDRESS: STREET3704 98th St SE cm,Everett STATE WA ZIP 98208 CONTRACTOR PHONE:425-345-348 CONTRACTOR EMAIL: primaelectric4u@gmail.com CONTRACTOR LIC.#(REQUIRED): PRIMAE*881 JL CITY OF EVERETT BUSINESS LIC.#(REQUIRED):045763 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-345-3428 Sung Cho CONTACT EMAIL:primaelectric4u@gmail.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//0 r(› I S)-- E S.0 t9411 Owner/Authorized Agent Signature Date (Revised 9/23/2016)