2105 BROADWAY 2019-01-17 - Laserfiche WebLink

04/27/2018 11 :36 #3371 P. 001/001 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 (E) everetteps@everettwa.gov I www.everettwa.gov/permits • PROJECT SITE INFORMATION PROJECT ADDRESS: 2105 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: ®COMMERCIAL USE OF BUILDING: FURNITURE ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 1080 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 17I NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: REPLACE PANEL IN STOCK ROOM ON THE NORTH SIDE OF THE DIVIMINC WALL. CONTACT INFORMATION OWNER NAME: BEHAR'S FURNITURE TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREkT 2105 BROADWAY _ cR„ EVERETT sTATI: WA ap 98201 OWNER PHONE: 425.259.7149 OWNER EMAIL: CONTRACTOR NAME: EYLANDER SALES & SERVICE CONTRACTOR ADDRESS: sTREET 3601 EVERETT AVE cm, EVERETT STATE WA aP 98201 CONTRACTOR PHONE: 425259.2161 CONTRACTOR EMAIL: CONTRACTOR LIG.#(REQUIRED): EYLANSS142LP CITY OF EVERETT BUSINESS LIG.#(RFQUIRFD): 016363 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) MR CORNELIUS CONTACT NAME: CONTACT PHONE: 425.231.2275 JOHN CORNELIUS CONTACT EMAIL: • • AGREEMENT.there-by certify that I have read and examined this application and know the same to he tete and convict All provisions of laws and ordinances governing this type of wont 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 perforin the wonc for which application is made and comply with the State Contractors Law 1827 RCW and 296.200 WAC. City of Everett Official Use Only pERM1T 0 rlAfrthorks pent SignatureY% OA4 (Revised 9/23/2016)