1802 RUCKER AVE 2020-03-09 - Laserfiche WebLink

1°1111P,----4 EECTRICAL PERMIT APIICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE I •RMA ION PROJECT ADDRESS: 1802 Rucker Ave, Everett, WA 9821 BUILDING AREA(if residential,new construction,remodel,or addition) 7412 SF BUILDING TYPE: VI SFR-DETACHED 0 SFR-ATTACHED 0 DUPLA 0 MULTI AMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Garage, rec room AL APPLICATION INFORMATION CONTRACT PRICE OF WOR NUMBER OF DEVICES (if low .41111101110 NUMBER : . FIRE ALARM? 0 YES ®NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 1) main power inlet to house. 2) Panel in garage for supplying power to garage and rec room 3) 'cx " a_100--L� 3 0 0_t c RIX)in G AfLii-�i CONTACT INFORMATION OWNER NAME:Viggo and Aileen Forde TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1802 Rucker Ave CITY Everett STATE WA ZIP 98201 OWNER PHONE: 425-337-5175 OWNER EMAIL:viggoforde@outlook.com CONTRACTOR NAME: 6D CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: / CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIR/411110,1 PRIMARY CONTACT: ®OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: i(.if 25 ))7 51 7-5 V t�F G O FoC CONTACT EMAIL: V 1('1(f® FoQ.O s Q OU-11-00 K.C°AA AGREEMENT l 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# \(\) 'll—Ctill57 --- ilf30 ( 16 E ( o1 -� 085 Owner/Authorized A ent Signature Date (Revised 9/23/2016)