10811 1ST DR SE 2020-06-03 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION 4W 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 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 10811 1ST DR SE, Everett, WA. 98208 BUILDING AREA(if residential, new construction, remodel,or addition) 1882 SF BUILDING TYPE: ® SFR-DETACHED ❑ SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: SFR ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 10,500.00 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Replace Panel, Remodel Interior, Update Fixtures, Add Circuits, Power to Shed L ` CONTACT INFORMATION OWNER NAME: Danlal Johnson TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 10811 1st Dr. SE CITY Everett STATE Wa ZIP 98208 OWNER PHONE: 425-232-8121 OWNER EMAIL: danialpjohnson@yahoo.com CONTRACTOR NAME: PE Construction, Clyde Porter CONTRACTOR ADDRESS: STREET 13329- 226th Ave NE CITY Granite Falls STATE Wa ZIP 98252 CONTRACTOR PHONE: 360-691-1600 CONTRACTOR EMAIL: cwporter@porterent.comcastbiz.net CONTRACTOR LIC.#(REQUIRED): CC PECONC*833QZ CITY OF EVERETT BUSINESS LIC.# PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360-691-1600 Clyde Porter CONTACT EMAIL: cwporter@porterent.comcastbiz.net 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 1 PERMIT# 0 / rued Ag=nt Signature Date (Revised 9/23/2016)