8408 18TH AVE W 10 - 103 2019-11-15

44-77 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 FAX 425-257-8857 (E) everetteps@everettwa.gov l www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 8408 18th Ave W #10-103 BUILDING AREA(if residential, new construction, remodel, or addition)600 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX m MULTI-FAMILY-#OF UNITS: 1 ❑ COMMERCIAL USE OF BUILDING: Residential - Kitchen ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 10,000 NUMBER OF DEVICES (if low voltage): 1 FIRE ALARM? ❑YES m NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Kitchen-Remodel elet.,--)169d CONTACT INFORMATION OWNER NAME: ELOHEIMO ELIZABETH TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 8408 18th Ave W#10-103 CITY Everett STATE WA ZIP 98204 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Electri-City, Inc. CONTRACTOR ADDRESS: STREET 12912 Beverly Park Rd CITY Mukilteo STATE WA ZIP 98275 CONTRACTOR PHONE: 425-672-6797 CONTRACTOR EMAIL: Parisa@electri-cityinc.Com CONTRACTOR LIC.#(REQUIRED): ELECTI*110BA CITY OF EVERETT BUSINESS LIC.#(REQUIRED):026843 PRIMARY CONTACT: 0 OWNER Q CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-672-6797 Parisa Richardson CONTACT EMAIL: Parisa@electri-cityinc.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 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# Parisa Richardson 05/17/18 E 11bO --1?) Owner/Authorized Agent Signature Date (Revised 9/23/2016)