840 N BROADWAY 2019-03-26 - Laserfiche WebLink

#1/#001.1"--AELECTRICAL PERMIT APPLICATION _, CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 (E)everetteps@everettwa.gov www.everettwa.gov/p ermits • PROJECT$ITE INFORMATION PROJECT ADDRESS: 840 North Broadway Bldg B BUILDING AREA(If residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED D SFR-ATTACHED 0 DUPLEX Cl MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Commercial Office Bldg ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 1,250.00 NUMBER OF DEVICES(if low voltage): FIRE ALARM? D YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Disconnect/Reconnect 480V 50A HVAC Unit. • CONTACT INFORMATION OWNER NAME Broadway Building Bldg B TENANT NAME(If Commercial): OWNER MAIUNG ADDRESS: STREET 840 North Broadway Bldg A c r Everett STATE WA zit 98201 OWNER PHONE: 'OWNER EMAIL: CONTRACTOR NAME: Seatac Electric Inc. CONTRACTOR ADDRESS: siRair 7056 S 220th Street env Kent STATE WA zip 98032 CONTRACTOR PHONE: 253-872-5553 'CONTRACTOR EMAIL: ebony.oneiil@seatacelectric.com CONTRACTOR UC.#(REQUIRED): seataei077rw 'CITY OF EVERETT BUSINESS UC.#(REQUIRED):033037 PRIMARY CONTACT: D OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-305-0349 Dylon Pyle CONTACT EMAIL:dylon.pyle@seatacelectric.com AGREEMENT:I hereby cerUly that l have read and examined this*picador)and know the same to be true and correct AlIproWsions of laws end ordinances governing this type of work wit be completed whether specified heretrr snot The iota permit does not presume to give authority to violate or cancel the provisions*,any other state or local law regulating construction orthe pertonnance of construction. That l am authorized by the owner of this property toperfonn the work for which app1caton is made and l comply with the State Contractors Law 18 27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# 01(6A_YQ 6/8/18 E 1OCe-006 Owner, Agent signature Date (Revised 9/23/2018)