2320 ROCKEFELLER AVE 2019-04-29 - Laserfiche WebLink

pgx) • 1M3 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 F FAX 425-257-8857 I (E) everetteps@everettwa.gov I wvvw.everettwa.govipermits PROJECT SITE INFORMATION' PROJECT ADDRESS: 2320 Rockefeller Ave., Everett, WA 98201 BUILDING AREA(if residential,new construction,remodel,or addition) 100 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED ai DUPLEX 0 MULTI-FAMILY #OF UNITS: 0 COMMERCIAL USE OF BUILDING: Duplex Apartment ELECTCAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $3,000.00 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 111 NO ASSOCIATED BUILDING PERMIT#(if applicable): N/A DESCRIPTION OF WORK: Changing existing 100 Amp Old Panel with new 100 Amp Square D Panel. CONTACT'INFORPAATION OWNER NAME: P.J Parsons TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1102 Railroad Ave. cev Snohomish STATE WA zir 98290 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Protection & Communications, Inc. (Pro-Comm) CONTRACTOR ADDRESS: STREET 19630 40th Ave. W. cn-r Lynnwood STATE WA zu,, 98036 CONTRACTOR PHONE: 425-774-9099 CONTRACTOR EMAIL: lylew@pro-comm-online.com CONTRACTOR LIC.#REQUIRED): PROTECI165L8 CITY OF EVERETT BUSINESS L1C.#(REQUIRED): 026474 PRIMARY CONTACT: DOWNER Ei CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: Pro-Comm CONTACT PHONE: 425-774-9099 CONTACT EMAIL: lylew@pro-comm-online.com AGREEMENT'Thereby 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 wi//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 18.27FtCW and 296.200 WRC. City of Everett Official Use Only rrgr*"*"----"""'""'"""""""""""'"""m'"'* 4:) 000. 4 - - PERMITIt E 0 ner Authorized Agent Signature Date (Revised 1011212015)