1407 80TH ST SW 2019-09-18 - Laserfiche WebLink

4Err 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 PROJECT SITE INFORMATION PROJECT ADDRESS: 1 407 80TH ST SW BUILDING AREA(if residential, new construction,remodel,or addition)3000 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ®COMMERCIAL USE OF BUILDING: OFFICE ELECTRICAL,APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 734 NUMBER OF DEVICES (if low voltage): 4 FIRE ALARM? 0 YES ®NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Control and stat wire for duct less mini split system CONTACT INFORMATION OWNER NAME:ACHILLES USA INC TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET P 0 BOX 2287 cnr EVERETT STATE WA ZIP 98203 OWNER PHONE: 425-353-7000 OWNER EMAIL: CBAILEY@ACHILLESUSA.COM CONTRACTOR NAME: G&S HEATING CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE en-y EVERETT STATE WA ZIP 98201 CONTRACTOR PHONE: 425-610-4257 CONTRACTOR EMAIL: JONATHAN@GSHEATING.COM CONTRACTOR LIC.#(REQUIRED): GSHEAC*939RK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 19685 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-309-6507 JONATHAN FARRELL CONTACT EMAIL:JONATHAN@GSHEATING.COM AGREEMENT:l hereby certify that l have read and examined this application and know the same to be true and correct. Al!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 ahy other state or local law regulating construction or the performance of construction. That l am authorized by the owner of this property to perform the work for which application is made and l comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# Jonathan D Farrell - -r E i U( - Owner/Authorized Agent Signature Date (Revised 9/23/2016)