840 N BROADWAY 2019-03-26 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION "Illid:;;A 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 I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 840 N Broadway Everett, WA 98201 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: Commercial ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 33,680.00 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Installation of (1) BTC power dual pedestal 30 amp EVC devices w/touch screens, pedestal and cradle CONTACT INFORMATION OWNER NAME: RMR Group TENANT NAME(If Commercial): Everett DSHS OWNER MAILING ADDRESS: STREET 401 Elliot Ave W SE 150 cny Seattle STATE WA ZIP 98119 OWNER PHONE: 425-324-7907 OWNER EMAIL:cwilliams@rmrgroup.com CONTRACTOR NAME: Alpha and Omega Electric, LLC CONTRACTOR ADDRESS: STREET 9531 31St Ave SE CI1f Everett STATE WA ZIP 98208 CONTRACTOR PHONE: 425-337-3006 CONTRACTOR EMAIL: admin@aoecuStom.COm CONTRACTOR LIC.#(REQUIRED): ALPHAOE962K6 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):049374 PRIMARY CONTACT: 0 OWNER IZi CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-337-3006 Julie Allison CONTACT EMAIL:admin@aoecustom.com 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 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 local law regulating construction or the performance of construction. That lam authorized by the owner of this properly to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only r, PERMIT#� I1f�1 E �SOg ..r 034 Owner/Aut • d Agent Signature , Date (Revised 9/23/2016)