3501 LOMBARD AVE 2019-02-11 - Laserfiche WebLink

N.ECTRICAL PERMIT AP !CATION 0*6 ';. 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 j www.everettwa.gov/permits PROJECT ADDRESS: 3501 Lombard Ave 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: 0 COMMERCIAL USE OF BUILDING: Work located on utility pole at NE corner of Property tl ,L ll VA APF C * F-! A ION CONTRACT PRICE OF *RK: 2500 NUMBER OF DEVICES Qf low voltage): FIRE ALARM? DYES ®NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Install 20A unmetered service for Comcast power supply 16'off ground on utility pole#64021 OWNER NAME:Comcast TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sr CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR N E: Ault Electric CONTRACTOR ADDRESS: STREET 2348 Holgate Street South cm.Tacoma STATE WA gip 98402 CONTRACTOR PHONE: 253-383-5109 (CONTRACTOR EMAIL: jeremyw@aultelectric.Com CONTRACTOR UCt,C(REOUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 52766 PRIMARY CONTACT: D OWNER ®CONTRACTOR 0 OTHER(Please Specify) fi CONTACT NAME: CONTACT PHONE: 253-383-5109 Jeremy Wilson CONTACT EMAIL:Jeremyw@aultelectric.com AGREEMENT:t hereby certify that 1 have read and examined this application end know the same to be true and correct. All provisions of laws and ordinances governing this type of wet*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 f comply with the State Contractors Law 18.27 RCW and 295.200 WAC. City of Everett Official Use Only PERMIT# W if 1/Ili 2,06l riA th Agent Signage Date (Revised 9/23/2018)