2315 74TH ST SE 2019-09-12 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION "11/ - CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov l www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2315 74th St SE BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: © SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: single family residence ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 1000.00 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): none DESCRIPTION OF WORK: Installing 240v 50 amp dedicated circuit to hot tub CONTACT INFORMATION OWNER NAME:Chris Towey TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2315 74th St se c,,, Everett STATE WA ZIP 98033 OWNER PHONE: 206-914-2645 OWNER EMAIL: CONTRACTOR NAME: Black Lion Heating & Air COnditioning CONTRACTOR ADDRESS: STREET 11001 118th PL NE ,,n Kirkland STATE WA ZIP 98033 CONTRACTOR PHONE:425-814-3944 CONTRACTOR EMAIL: Brenda@blacklionhvac.com CONTRACTOR LIC.#(REQUIRED): BLACKLH873QQ CITY OF EVERETT BUSINESS LIC.#(REQUIRED):053541 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-814-3944 Brenda CONTACT EMAIL:brenda@blacklionhvac.com AGREEMENT:I hereby certify that I 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 properly to perform the work for which application is made and I comply with the State Contractors Law 18,27 RCW and 296.200 WAC. 0City of Everett Official Use Only ,,` � ,t- PERMIT# 49501 I_C?......) r. E � WS oS 1wvererAutharize• .:et Si —gna ure late (Revised 9/23/2016)