Laserfiche WebLink
477 ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION = ' `' <br /> PROJECT ADDRESS: 3231 Broadway Ave <br /> BUILDING AREA(if residential,new construction,remodel,or addition)10000 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> (tair" <br /> USE OF BUILDING: Tenant re <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: ,, 2500 <br /> NUMBER OF DEVICES(if low v i Itage): 6 <br /> FIRE ALARM? 0 YES 0 N 4 <br /> ASSOCIATED BUILDING PERMI #(if .,,•Iicable): <br /> DESCRIPTION OF WORK: remove and replace exterior storefront lighting <br /> CONTACT INFORMATION <br /> OWNER NAME:Cecilia White TENANT NAME(If Commercial):Same as Owner <br /> OWNER MAILING ADDRESS: STREET 3231 Broadway Ave <br /> CITY Everett STATE WA zip 98201 <br /> OWNER PHONE: 425.239.2473 OWNER EMAIL:NA <br /> CONTRACTOR NAME: Bennett Electric Inc <br /> CONTRACTOR ADDRESS: STREET 104 Can Ku rd <br /> CIT,.Camano Island STATE WA ZIP 98282 <br /> CONTRACTOR PHONE: 206.866.0062 CONTRACTOR EMAIL: Bennettelectric@camano.net <br /> CONTRACTOR LIC.#(REQUIRED): Benneel931 me CITY OF EVERETT BUSINESS LIC.#(REQUIRE :052225 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206.866.0062 <br /> Mark W. Bennett CONTACT EMAIL:Bennettelectric@camano.net <br /> 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 <br /> 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 <br /> 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 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> ' , ENA <br /> S a3 )t? E \SOS - \z6 <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />