1503 PACIFIC AVE COMMUNITY HEALTH CARE CREDIT UNION 2019-04-29

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov i www.everettwa.gov/permits PROJECT ADDRESS: 1503 Pacific Aye, 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: m COMMERCIAL USE OF BUILDING: Medical CONTRACT PRICE OF WORK: $ $546 NUMBER OF DEVICES(if low voltage): 1 FIRE ALARM? 0 YES ®NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Adding a cell unit. OWNER NAME: Community Health Care Credit Union TENANT NAME(If Commercial): Community Health Care Credit Union OWNER MAILING ADDRESS: STREET 1503 Pacific Ave Everett STATE WA ZIP 98021 OWNER PHONE: 425-259-6446 OWNER EMAIL: gayle@commhealthcu.org commhealthcu.org CONTRACTOR NAME: Allied Fire & Security CONTRACTOR ADDRESS: STREET 1015 Central Ave N ciry Kent STATE WA zip 980312 CONTRACTOR PHONE: 206-491-2540 CONTRACTOR EMAIL: rhertz@allied-security.COn1 CONTRACTOR LIC.#(REQUIRED): AIIIEFS821 DO CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 023108 PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-491-2540 Reid Hertz CONTACT EMAIL: rhertz@allied-security.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 I am authorized by the owner of this property 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 PERMIT# Reid Hertz 9/21 /18 E goc, Owner/Authorized Agent Signature Date (Revised 9/23/2016)