Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 DAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 FAX 25-257-:: 7 E)emettepeCkeverettwagov wvvweverettwa.govipermits <br /> a <br /> PROJECT ADDRESS: 7514 Evergreen ay,,Everett WA <br /> BUILDING AREA(if residential,new construction,remodel,or addition)OutdnOTS-209 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX QMULTI-FAMILY-#OF UNITS: VI COMMERCIAL <br /> USE OF BUILDING: Wendy's Repar4ast <br /> n <br /> CONTRACT PRICE OF WORI :$ 2,50O.O0 <br /> NUMBER OF DEVICES cif low‘voltage):<, <br /> FIRE ALARM? 0 YES .. ., <br /> ASSOCIATED BUILDING PERMIT#Vit'applicable): <br /> DESCRIPTION OF WORK: Install dedicatedcircuit-and(2) 1 Moh PVC data conduits tO existing outside menu board <br /> OWNER NAME:WIC Went TENANT NAME(If ercial): kiVendys <br /> OWNER MAILING ADDRESS: sinner PO Box,38931 <br /> crry Charlotte sf xE NC zip 28236 <br /> OWNER PHONE: 615-850-4580 OWNER EMA :Kia tthurn WTCV nttures.com <br /> CONTRACTOR NAM Southgate Electric Inc <br /> CONTRACTOR ADDRESS: *rase?23444 30th AveS#101 <br /> Kent STATE WA zip 980 <br /> kCONTRACTORPHONE: 208-8782866 CONTRACTOR.EIWAIL: deb,bies, •uthgateinc,com - \ <br /> CONTRACTOR LIC.#(RECt.IIRED): SOUTHEI366P1 STY OF EVERETT BUSINESS LIC.#(REQUIR :925462 <br /> PRIMARY CONTACT: 0 OWNER 14 CONTRACTOR 0 OTHER(Reese Spe0140) <br /> CONTACT NAME:. CONTACT PHONE: 78-2886 <br /> Debbie Pathos CONTACT EMAIL:debbie@ outt geteinc com <br /> AGREEMENT:I hereby' certify that I have feed and examined tote 'fTand know the seine le baileeand coned All provisions of laws and ordinances governing this type <br /> of v*wilt he Completed whether speoitred hetet or not The granting of a per#does not prestdde Olive attatoray teolate or canoai fhe arodiatoda of any other atm or <br /> local law remitting consta Lotion or the pertinence of oninctrection That i am andoented'by the oweetelihis mope*to perform themoncice wAnth fiptlication is men and t <br /> comply with the State Contractors Law 1817 Viand 216400 WAC <br /> City of Everett Official Use Only <br /> PERMIT <br /> Debbie Psachos 10/23/17 E \ (o _ 2- <br /> OwnerAuthorzed Agent Signature Dates (Revised g,231.2O16)-' <br />