2915 17TH ST 2020-06-03 - Laserfiche WebLink

a"- CTRICAL PERMIT AP : JCATION 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: 2915 17th St. Everett, WA 98 BUILDING AREA(if residential, new construction, remodel, or addi )775 ) SF BUILDING TYPE: m SFR-DETACHED El SFR-ATTACHED ❑DUPLEX El MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: Single family residence ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ owner performed NUMBER OF DEVICES (if low voltage): _— fF� FIRE ALARM? CIpiwer .YES m NO / /' ASSOCIATED BUILDING PERMIT# (if applicable): plan check No: C1804-006 DESCRIPTION OF WORK: Relocate meter base and mast, `_._' ,r- - 14e6475- Nle 4C6' w .. 14' — L/r^ – – CONTACT INFORMATION OWNER NAME: Rachel Shapiro TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 18105 Sunset Way CITY Edmonds STATE WA ZIP 98026 OWNER PHONE: (425) 381-6648 OWNER EMAIL: shaprachel@gmail.com CONTRACTOR NAME: owner preformed CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑ OWNER El CONTRACTOR 0 OTHER(Please Specify) Father. CONTACT NAME: CONTACT PHONE: 425 778 5400 Tony Shapiro CONTACT EMAIL: tonys@adshapiro.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. , 4' 5 ' ei ' i City of Everett Official Use Only PERMIT# E li 806 - ptiO Owner/Authorized Agent Signature Date (Revised 9/23/2016)