3732 BROADWAY 2019-01-18 - Laserfiche WebLink

MECTRICAL PERMIT APICATION 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 s`' x PROJECT SITEIN�ORMATION � ,�.. .!< �.:��. �.. ,,,�« � r' ' ��•- PROJECT ADDRESS: 73 2 Z31e0,40a.m I. BUILDING AREA(if residential, new construction, remodel or addition) • "%'653* SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR ATTACHED ©-DUPLEX 0 MULTI-FAMILY-#OF UNITS: COMMERCIAL USE OF BUILDING: 0,. /t/K' ELECTRICAL APPLICATIONANFORMATION CONTRACT PRICE OF WORK:$ ��DD NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES I:8-NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: L �DD — .4./4' 5 7 CONTACT INFORNIATIO-N OWNER NAME: �GtGf4,7 L,,✓/ ,',c' - f ?4/K TENANT NAME(If Commercial): �./4r?� OWNER MAILING ADDRESS: STREET 3 7 �,�✓Ui€D!?/�P y Erre CITY STATE GcJ,/t ZIP /7'2(2/ OWNER PHONE: '7'`.2,-- ZG 3.1-1?,:=2 OWNER EMAIL: CONTRACTOR NAME: United Electric Contractors, Inc, CONTRACTOR ADDRESS: STREET 5301 South 2nd Avenue an, Everett STATE WA zip 98203,4112 CONTRACTOR PHONE: 425-252-7811 CONTRACTOR EMAIL: unitedelectric@comcastnet CONTRACTOR LIC.#(REQUIRED): UNITEEC 176 146 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 019434 PRIMARY CONTACT: 0 OWNER LI CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: Dave Hammer, Principal CONTACT PHONE: 425-252-7811 CONTACT EMAIL: unitedelectric@comcast.net AGREEMENT:T 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 FEE °IDo �� j PERMIT# E 0 t \'20 Wx.gg Owner/Authorized Agent Signature Date - (Revised 10/12/2015)