3310 31ST DR 2019-09-09 - Laserfiche WebLink

427r ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov(permits ECT SITE:INFORMATION PROJECT ADDRESS: J(V `2)\r�r. > i BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED SFR ATTACHED ❑DUPLEX Cl MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: `O t ......;......:,.............::.:.::. :.....:.: .......:::.. TRI APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ t()04 r (fl NUMBER O. DEVICES(if low voltage): FIRE ALARM? El YES J24O ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: (--AU&- � CONTACT INFORMATION ... OWNER NAME: Sb Au(kb... TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET '525i •s ; D CITY ././1/41.1(t\-- STATE Wk. ZIP cam( 2O OWNER PHONE: WNER EMAIL: CONTRACTOR NAME: G&S HEATING CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE CITY EVERETT STATE WA ZIP 98201 CONTRACTOR PHONE: 425-252-4402 CONTRACTOR EMAIL: DAWN@GSHEATI NG.COM CONTRACTOR LIC.#(REQUIRED): GSHTGSH93ORK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 019685 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-252-4402 DAWN WEIMER CONTACT EMAIL:DAWN@GSHEATING.COM AGREEMENT:I hereby certify that 1 have read and examined this application and know the same to be bye 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 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only -,1 PERMIT# E ��-; °LS Owner/Authorized Agent Signature Da '� (Revised 9/23/2016)