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

jfetifr,- ELECTRICAL PERMIT APPLICATION 1 CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 I (E)everetteps©everettwa.gov I www.everettwagovipermits PROJECT ADDRESS: 4027 4TH ST SE I BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX D MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: WASTEWATER TREATMENT PLANT i s " CONTRACT PRICE OF WORK:$ 20,000 1 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES II NO ASSOCIATED BUILDING PERMIT#(if applicable): i DESCRIPTION OF WORK: INSTALL HEAT TRACE CONTACTOR CABINETS AND CONTROLS AT 5 LOCATIONS I 1 _ I I # , - ' ' CONTACTINFORMAtiOW,' 4 OWNER NAME:CITY OF EVERETT TENANT NAME(If Commercial): EWPCF k OWNER MAILING ADDRESS: STREET 3002 WETMORE AVE EVERETT STATE WA zyp 98201 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.#IREQUiRED): PRIMARY CONTACT: .0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Z I CONTACT NAME: CONTACT PHONE: 425-257-8232 i MATT CHRISTIE CONTACT EMAIL;MCHRISTIE@EVERETTWAGOV p, ! AGREEMENT:I hereby certify that!have read and examined this application and know the same to be hue and correct. All pm visions of laws and ordinances governing this type 0 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. mall am authorized by the owner of this property to perform the work for which application is made and I I comply with the State Contractors Law 18.27 PCW and 296.200 WAC. i 1 1 I 4 City of Everett Official Use Only PERMIT# 0 Itroff- E ot - O owner,..thor, .d Agent Signatur: Date (Revised 9/23/2016) 0 0