1715 BROADWAY 2019-01-17 - Laserfiche WebLink

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 racy !fi1` PROJECT ADDRESS: 1715 Broadway BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED ❑SFR-ATTACHED 0 DUPLEX 0 MULTI FAMILY-#OF UNITS: . R{COMMERCIAL USE OF BUILDING: Retail k y� CONTRACT PRICE OF WORK: $ 250 NUMBER OF DEVICES(if low volt. se): FIRE ALARM? ❑YES . !J NO. ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Final connection for LED price units on monument sign., --.. + 1C7 11 �1fAT 1f ..a is NT OWNER NAME: TENANT NAME(If Commercial): Safeway OWNER MAILING ADDRESS: STREET 1715 Broadway clxY. Everett STATE WA _ ZIP 98201 Orapt PHONE; OWNER EMAIL: CONTRACTOR NAME: Heath Northwest CONTRACTOR ADDRESS: STREET 727 South 96th St CITY Seattle STATE WA z 98108 CONTRACTOR PHONE: 206-623-3100 CONTRACTOR EMAIL: kirstenh@. heathnorthwest.com ; , CONTRACTOR LIC. o l-IEATHNI981.1ZCITY OF EVERETT BUSINESS LIC, ft wo 04-1617 .::.......:. PRIMARY CONTACT. 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-623-3100 Crystal Canter CONTACT EMAIL:crystalc@heathnorthvvest.com AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true a and correct.All provisions of laws and ordinances governing this type of work will be completed whether specified herein or not. The grantingof apermit does not p p 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!am authorized try the owner of this property 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# 9/4/18 E gt)9' 001-1 OMw NAtittiorized.Agent Signature Date ii 9 (Revised 9/2312016)