4027 4TH ST SE 2019-05-23 - Laserfiche WebLink

i iiIIIIP' ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES I 3200 CEDAR STREET, EVERETT,WA 98201 'q (P)425-257-8810 j FAX 425-257-8857 j (E)everetteps@everettwagov I wwvv.everettwagovipermits ''''''''''•''' ':: :-..-'' ,,',, '''''' .. -,.:,, PROJECI!.$017t4NeditiVIAtION PROJECT ADDRESS: EWPCF 4027 4th St SE BUILDING AREA(if residential,new construction,remodel,or addition) SF tl BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Wastewater Treatment Plant iticA4,4POLid*orioN INFORMATION CONTRACT PRICE OF WORK:$ 20,000 NUMBER OF DEVICES(if low voltage): ,1 . i FIRE ALARM? 0 YES 0 NO I ASSOCIATED BUILDING PERMIT#•(if applicable): ...; DESCRIPTION OF WORK: Barscreens#1 and#2 inlet gates, barscreens, and level transmitter controls- Install new conduit,wire, and enclosures, I 1 I i 1 CONTACT INFORMATION OWNER NAME:City of Everett TENANT NAME(If Commercial): EWPCF OWNER MAILING ADDRESS: STREET 3002 Wetmore Ave city Everett &TATE WA ZIP 98201 i OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: OWNER CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 1 PRIMARY CONTACT: l OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-257-7847 ..i. Andy Dorsey CONTACT EMAIL:adorsey@everettwagov AGREEMENT:)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 t• of work will be completed whether specified herein or not. The granting of a permit does no/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 an?authorized by the owner of this property-to perform the work for which application is made and! a comply with the State Contractors Law 1027 RCIA,and 296.200 WAC I, I I-Coo City of Everett Official Use Only PERMIT# ii,„„„4 ..10,,,„,..„ 4111110'A 4 .... (I e?I 1 ii 7 E ( ô-' -c) g — oc) 3 ., OwnerIAuthoriz Agent Signaturl Date (Revised 9/23/2016) i !