4812 GARDNER AVE 2020-07-13 - Laserfiche WebLink

41L- 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 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 4812 Gardner Ave Everett WA 98203 BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑SFR-DETACHED El SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: Residential ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 500 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES ❑ NO ASSOCIATED BUILDING PERMIT# (if applicable): M1811-064 DESCRIPTION OF WORK: adding circuit for retrofit ac install CONTACT INFORMATION OWNER NAME: Holly Petersen TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 4812 Gardner Ave Everett STATE WA zP 98203 OWNER PHONE: 206-330-9010 OWNER EMAIL: hollypetersen@OutIook.COm CONTRACTOR NAME: Bob's Heating & Air Conditioning CONTRACTOR ADDRESS: STREET 14148 NE 190th St CITY Woodinville STATE WA ZIP 98072 CONTRACTOR PHONE: 800-840-3346 CONTRACTOR EMAIL: echau@bobsheating.Com CONTRACTOR LIC.#(REQUIRED): BOBSHHA85ONJ CITY OF EVERETT BUSINESS LIC.#(REQUIRED):054967 PRIMARY CONTACT: ® OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 1(800)840-3346 Shelby Pike CONTACT EMAIL:Spike@bobSheating.COnl AGREEMENT:1 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# Owner/Authorized-Agent Signature Date (Revised 9/23/2016)