802 E MUKILTEO BLVD 2018-12-21 - Laserfiche WebLink

grr. ELECTRICAL PERMIT APPLICATION 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 I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:200-gar-1424. (Forest Park Swim Center, 802 E. Mukilteo Blvd.) 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: ®COMMERCIAL USE OF BUILDING: Aquatic fitness and rehabilitation facility ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ ?50 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES m NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Installation of a two 20 amp circuits for suit dryers CONTACT INFORMATION OWNER NAME: City of Everett TENANT NAME(If Commercial): �Ia.TV Ns i Q s .t O V OWNER MAILING ADDRESS: STREET 802 E. Mukilteo Blvd. c,n Everett STATE WA ZIP 98203 OWNER PHONE: 4252578300 OWNER EMAIL: vmclaughlin@everettwa.gov CONTRACTOR NAME: ehlin VW� j CONTRACTOR ADDRESS: STREET 802 E. Mukilteo Blvd. cm( Everett STATE WA ZIP 98203 CONTRACTOR PHONE: 4252577334 CONTRACTOR EMAIL: vmclaughlin@everettwa.gov CONTRACTOR LIC.#(REQUIRED): MCLAUVL314JS (EL-01) CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-257-7334 Von McLaughlin CONTACT EMAIL:vmclaughlin@everettwa.gov 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# Owner/ ized Agent Signature Date (Revised 9/23/2016)