2916 STATE ST BSNW LLC 2019-04-17

Apr. 11. 2017_10: 50AM No. 5146 P. 1 477 ELECTRICAL PERMIT W'LICATION 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 SITE INFORMATION PROJECT ADDRESS: 2916 STATE ST ST-r, NLi- BUILDING AREA(if residential,new construction, remodel, or addition) • SF BUILDING TYPE: 0 SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS: 6ZI COMMERCIAL USE OF BUILDING: PROCESSING ,L,EQ 1CAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: ., 4889.00 NUMBER OF DEVICES (if low oltage): FIRE ALARM? LI YES '4 'v ASSOCIATED BUILDING PER (if applicable): DESCRIPTION OF WORK: ALTER 4 CIRCUITS FOR ADDING RECEPTICALS TO PACKAGING/STORAGE/SERVER AREA AND LIGHTING FOR FOR PACKAGING/STORAGE/WEST ROOM • CONTACT INFORMATION OWNER NAME: BSNW TENANT NAME(If Commercial): ANDERS TAYLOR OWNER MAILING ADDRESS: srREET 2916 STATE ST cny EVERETT STATE WA ZIP 98201 OWNER PHONE: 352-514-9238 OWNER EMAIL: CONTRACTOR NAME: G&S HEATING CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE ciTv EVERETT STATE WA zip 98201 CONTRACTOR PHONE: 425-252-4402 CONTRACTOR EMAIL: DAWN@GSHEATING.COM CONTRACTOR LIC.#(REQUIRED): GSHTGSH93ORK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 019865 PRIMARY CONTACT: 0 OWNER VI CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-252-4402 DAWN WEIMER CONTACT EMAIL: DAWN@GSHEATING.COM AGREEMENT:I hereby certify that/have read and examined this application and know the same to be true and correct. All provisions of lows 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/am authorized by the owner of this property to penbrm the work for which application is made end i comply with the State Contractors Law 18,27 ROW end 286,200 WAC. City of Everett Official Use Only PERMIT# (Ara.,\n E — 0(0 0 Owner/Aut rIzed Agent Signature Date (Revised 9/23/2016)