7404 MCDOUGALL AVE 2016-08-25 - Laserfiche WebLink

• • 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 l`NFORMATION PROJECT ADDRESS: 7404 McDougall Ave, Everett WA 98203 BUILDING AREA (if residential, new construction, remodel, or addiiion) 1152 SF BUILDING TYPE: C� SFR-DETACHED ❑ SFR-ATTACHED CI DUPLEX � MUL?I-FANIILY -# OF UNITS: ❑ COMMERCIAL USE OF BUILDING: ReSidence ELECTRICAL APPLICATION INPORMATION CONTRACT PRICE OF WORK: $ $5,000 NUMBER OF DEVIGES (if low volta e): FIRE ALARM? ❑ YES � NO ASSOCIATED BUILDING PERMIT # if applicable): DESCRIPTION OF WORK: SERVICE CHANGE, REPAIR WIRING AS NEEDEQ DUE TO DAMAGE FROM FALLING TREE (5 CIRCUITS ALTERED CONTACT INFORMA7'ION OWNER NAME: Vince Fostet' TENANT NAME (If Commercial): OWNER MAILING ADDRESS: sTReer 7404 McDougall Ave c�rr Everett srAre WA zia 98203 OWNER PHONE: 253-625-4957 OWNER EMAIL: CONTRACTOR NAME: Valor Electric LLC CONTRACTOR ADDRESS: srReEr PO BoX 447 cin S an�wa sTATe WA ziP 98387 CONTRACTOR PHONE: (253) 314-.5076 CONTRACTOR EMAIL: manuela�a�valor-electric.com cONTRACTOR LIC. #�REQuiREo): VALOREL904NB CITY OF EVERETT BUSINESS LIC, #(REQUIRED): O�J537'I PRIMARY CONTACT: ❑ OWNER I� CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: �253 314-5076 Manuela DeHerrera, Administrator CONTACT EMAIL: manuela@valor-electric.com AGREEMENT: 7 hereby ce�tr(y that ! have �ead and exomined this app/icalion and know the same to be true and correcL A/1 provisions o7laws antl ordinances goveming this rype o� work wdl be completed whether specified heiein or nol. 7he yranling o( a permit does not presume to give aulhonty !o violate or cancel the provisions of any other stafe or loca! law regulating cons(�uction or the peAormance of consfruclion. 7hai I am auihorized by the owner pl fhis properiy lo perform tha wak (or whrch applica!ion is made and 1 comply with Ihe Stale Contracto�s Law 18.27 RCW and 296.200 WAC. Owner/Authorized Agent Signature Uate City of Everett Official Use Only FEE , � C' �� � ��w PERMIT # E,�;�;�,- � (Revised 10/12/2015)