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9801 19TH AVE SE 2019-06-11
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9801 19TH AVE SE 2019-06-11
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Last modified
6/11/2019 1:07:14 PM
Creation date
6/11/2019 1:07:13 PM
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Address Document
Street Name
19TH AVE SE
Street Number
9801
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ELECTRICAL PERMIIT , 41PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov www.everettwa.gcry/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 9801 19th Ave SE Suite A Everett, WA./93208 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) _SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX L- MULTI-FAMILY-#OF UNITS 0 COMMERCIAL <br /> USE OF BUILDING: Commercial -t=—.11 Jiff mrum <br /> 'mr:cssaapmesmi�Q= . S.. a� <br /> ELECTRICAL APPLICATION INFORMATION >o <br /> CONTRACT PRICE OF WORK: $ 8,000 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES 9_J NO <br /> ASSOCIATED BUILDCNG PERMIT#(if applicable): _ <br /> DESCRIPTION OF WORK: Map and Megger cut branch circuits in office space not permitted.Remove and replace NMB switch legs(2)installed in suspended ceiling. <br /> a�.u�_.o..oQ.,.._,..r.,...m........�e..�..,..s......,-.0:.y= .,.e„zmm epi <br /> " CONTACT INFORMATION <br /> OWNER NAME: Heartland Automotive - TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET Same <br /> CITY STATE ZIP it <br /> OWNER PHONE: 425-357-6766 OWNER EMAIL: deboie.johnson@jifryworld.conl <br /> CONTRACTOR NAME: Innerspace Electric Inc <br /> CONTRACTOR ADDRESS: STREET 15630 Larch Way Yv j <br /> CITY Lynnwood STATE WA ZIP 98087 <br /> CONTRACTOR PHONE: 425-609-8533 CONTRACTOR I`ItrIA'lL brianh@innerspaceelectric.com <br /> CONTRACTOR LIC.#(REQLhRED): INNEREI931`1N !CITY OF EVERETT BUSINESS LIC.#(REQUIRE)): <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-501-5003 <br /> Brian Hels CONTACT EMA!L.: <br /> AGREEMENT:I hereby certify that I have read and examined this application and knovi the same to be true and correct. All provisions of laws and ordinances govaming this type <br /> of work will be completed whether specified herein or no:. the granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> 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 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City cf t=ieretr Official Use Only <br /> a"y signed ny B;ian Hes PERMIT# <br /> c-US,E=bdanh@innerspac'"er';cCe 11 O/°� / <br /> C I a� 1���� `� k rfterspace Elecmc Inc.,OU=lnnerspace I VL\ <br /> E eoti3c Inc,CN=Brian Hels <br /> CvitA.2017.08.0811:39:52-07'0Y <br /> ra.r�..amaaMMMEMISOMICMINIMIENNII <br /> Owner/Authorize,1 Agent Signa*urn Da,e (Rev'ced 9/23/2016) <br />
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