1420 74TH ST SE 2019-09-12 - Laserfiche WebLink

/111P.V724ELECTRICAL PERMIT APPLICATION !!► 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( www.everettwa.gav/permits PROJECT,SITE:INFORMATION PROJECT ADDRESS: 1 420 74TH ST SE BUILDING AREA(if residential,new construction,remodel,or addition)3150 SF BUILDING TYPE: 7 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: RESIDENCE :.:::.ELECTRICAL APPLICATION:INFORMATION CONTRACT PRICE OF WORK:$ 4294.76 NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: UPGRADE EXISTING 100 AMP OVERHEAD SERVICE TO 200 AMPS,ADD CIRCUIT TO ADD 3 BATH RECEPTACLES,AND CIRCUIT FOR GARBAGE DISPOSAL AND RECEPTACLE IN SINK CABINET. CONTACT INFORMATION :.. .. OWNER NAME:ORLANDO RIVERA TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1420 74TH ST SE orry EVERETT STATE WA ZIP 98203 OWNER PHONE: 425-350-4196 OWNER EMAIL:OJWORIVERA@COMCAST.NET CONTRACTOR NAME: G&S HEATING CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE cirr EVERETT STATE WA ZIP 98201 CONTRACTOR PHONE:425-610-4257 CONTRACTOR EMAIL: SARA@GSHEATING.COM CONTRACTOR LIC.#(REQUIRED): GSHTGSH93ORK CITY OF EVERETT BUSINESS LIC.#(REQUIRED):019685 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-610-4257 SARA HOLLAND CONTACT EMAIL:SARA@GSHEATING.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!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# sA 4:—Q 01),(4 E Owner/Authorized Agent Signature Date (Revised 9/23/2016)