8609 EVERGREEN WAY COMMUNITY HEALTH CENTER 2019-03-21

May 21 2018 04:40PM HP Fax page 2 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 6609 Evergreen Way, Everett, WA 98208 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: .12 COMMERCIAL USE OF BUILDING: Health Center ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 25,092.96 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Install Audio Video System in Boardroom CONTACT INFORMATION OWNER NAME: Cit yOf Everett AcQ -L(1c2.C2.TENANT NAME(If Commercial); OWNER MAIUNG ADDRESS: STREET 3200 Ceder Street CTM Everett ZIP 98201 425-257-7130 STATE WA OWNER PHONE: 'OWNER EMAIL: CONTRACTOR NAME: Point to Point Low Voltage CONTRACTOR ADDRESS: STREET 2004196th ST SW#2 CRY ZAP Lynnwood WA 98036 425-771-7257 STATE CONTRACTOR PHONE: CONTRACTOR EMAIL: gary@morgansound.com CONTRACTOR LIC.#(REQUIRED): PQINTPL890D9 'CITY OF EVERETT BUSINESS LIC.*REQUIRED):39854 PRIMARY CONTACT: 0 OWNER .'CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME; CONTACT PHONE: 425-771-7257 Gary Parkes CONTACT EMAIL: gary@morgansound.com AGREEMENT::I hereby certify that f have read and examined this application and know the same to be true and correct. Al! 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 andisions of laws ovions of any other stale this type local law regulating construction or the performance of construction. That I am authorized by the owner of this provisions made or d comply with the State Contractors Law 18.27RCW and 296.200 WAC. property to perform the work for which application is and I City of Everett Official Use Only PERMIT# --.)(-I� E I ZC -- 1 � � Owner/ lentnature Date (Revised 923/2016)