615 75TH ST SE BLDG C 2020-02-19

ELECTRICAL PERMIT APPLICATION I�►�, - 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: 615 75th St SE Apt C48 Everett, WA 98203 BUILDING AREA(if residential, new construction,remodel,or addition)Residential SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX MULTI-FAMILY-#OF UNITS:6 0 COMMERCIAL USE OF BUILDING: Residential ELECTRICAL.APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 1,000 NUMBER OF DEVICES(if low voltage): N/a FIRE ALARM? m YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 30 amp 240v dedicated dryer circuit CONTACT INFORMATION OWNER NAME: Brainard Lee TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 5034 33rd Ave cin. Everett STATE WA ZIP 98203 OWNER PHONE: 425-347-0966 OWNER EMAIL: bindy_9@yahoo.com CONTRACTOR NAME: Exact Electric LLC CONTRACTOR ADDRESS: STREET 10115 Greenwood Ave N #233 ciTv Seattle STATE WA ZIP 98133 CONTRACTOR PHONE: 206-434-6915 CONTRACTOR EMAIL: info@eXactelectric.com CONTRACTOR LIC.#(REQUIRED): EC EXACTEL927RK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 051205 PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR Vl OTHER(Please Specify) Tenant CONTACT NAME: CONTACT PHONE: 425-923-0974 Judy Overcash CONTACT EMAIL: 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# 4. E Own=r/Authori :, Age Signature 'ate (Revised 9/23/2016)