10627 19TH AVE SE SILVER LAKE ORTHODONTICS 2025-01-09

• (4"r LLECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 l (E)everetteps@everettwa.gov l www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 10627 19th Ave SE Everett, WA 98208 BUILDING AREA(if residential,new construction,remodel,or addition) 1701 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Dental Services (Orthdontics) ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ ( , goo NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Instal 2 Sets of Channel letter signs CONTACT INFORMATION OWNER NAME:BEC Build LLC. TENANT NAME(If Commercial):Silver lake Orthodontics OWNER MAILING ADDRESS: STREET 18031 67th Ave NE cry Kenmore STATE WA ZIP 98028 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Slavic ( Nash Electric LLC ) CONTRACTOR ADDRESS: sTREET 8316 71st Street NE onY Marysville STATE WA ZIP 98270 CONTRACTOR PHONE: 425-2684524 CONTRACTOR EMAIL: nash_electric@hotmail.COm CONTRACTOR LIC.#(REQUIRED): NASHEEL853KA CITY OF EVERETT BUSINESS LIC.#(REQUIRED):on file PRIMARY CONTACT: ❑OWNER ®CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 818-744-1473 Danny CONTACT EMAIL: dannygedalia©gmail.com AGREEMENT:I hereby certify that!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 lam 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 1111 lOw• PERMIT# 1/79r7/ 9/4/2018 E Etoq -- Owner/A fIllirrized A,- - ,nature Date (Revised 9/23/2016)