5700 23RD DR W 2019-06-12 - Laserfiche WebLink

OLT ! CTRICAL PERMIT AP _ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 5700 23rd Drive BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS: El COMMERCIAL USE OF BUILDING: Church LEC ICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ /1'6,000.00 NUMBER OF DEVICES (if low volt6ge): / FIRE ALARM? ❑ YES '''�___ZNO ASSOCIATED BUILDING PERMIT# (if applicable): 13 (606.-05D DESCRIPTION OF WORK: Electrical tenant improvement work at Hallway B110, Restrooms B110A, B110B, Closet B120 &B121. Install new LED lighting. Utilize existing power and lighting circuits, no added load. CONTACT INFORMATION OWNER NAME: Northshore Christian Academy/Bldg B TENANT NAME(If Commercial): Northshore Christian Academy OWNER MAILING ADDRESS: STREET 5700 23rd Drive cm, Everett STATE WA ZIP 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Johnson Electric, Inc. CONTRACTOR ADDRESS: STREET 11816 NE 116th Street ciTv Kirkland STATE WA zip 98: CONTRACTOR PHONE: 425-821-8226 CONTRACTOR EMAIL: Randyd@johnsonelect.com CONTRACTOR LIC.#(REQUIRED): JOHNSEI384RU CITY OF EVERETT BUSINESS LIC.#(REQUIREI): 03143' PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-821-8226 Randy Dreyer CONTACT EMAIL: Randyd@johnsonelect.com AGREEMENT:I hereby certify that 1 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# / V „.....----...._____ 77.,b((o E Orq - (oo ' •wner/Aut orized Agent Signature Date (Revised 9/23/2016)