5621 LOWELL RD 2020-07-14 - Laserfiche WebLink

/111j-:g tECTRICAL PERMIT AILICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 ( (E) everetteps©everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 5621 Lowell Rd. BUILDING AREA(if residential, new construction, remodel,or addition) addition 49 SF BUILDING TYPE: lel SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: kitchen ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 5000.00 NUMBER OF DEVICES(if low voltage): 4 FIRE ALARM? ®YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: new stove outlet, vent fan outlet, counter outlet, smoke/CO detectors CONTACT INFORMATION OWNER NAME: Bob &Teresita Walton TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 5621 Lowell Rd. cny Everett STATE Wa ZIP 98203 OWNER PHONE: 425-353-8622 OWNER EMAIL: mrbobwalton@aol.com CONTRACTOR NAME: Bob &Teresita Walton CONTRACTOR ADDRESS: STREET 5621 Lowell Rd. c,Ty Everett STATE Wa ZIP 98203 CONTRACTOR PHONE: 425-353-8622 CONTRACTOR EMAIL: mrbobwalton@aol.com CONTRACTOR LIC.#(REQUIRED): na CITY OF EVERETT BUSINESS LIC.#(REQUIRED): na PRIMARY CONTACT: ®OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-353-8622 Bob Walton CONTACT EMAIL: mrbobwalton@aol.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. City of Everett Official Use Only fr PERMIT# / E S Owner/Authorized Agent Signature D e (Revised 9/23/2016)