2227 127TH PL SE 2016-09-15 - Laserfiche WebLink

To: E Page 2 of 5 2016-03-14 20:58:53 (GMT) 18884000383 From: Deborah Shields 0 PLECTRICAL PERMIT APPLICATION 4477 CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 FAX 425-257-8857 1 (E) everetteps@everettwa.gov www.everettwa.gov/permits M— PROJECT ADDRESS.2227 127TH PL SE BUILDING AREA(if residential,new construction,remodel,or addition) --SF BUILDING TYPE Ilio/ISFR-DETACHED I k--FR-ATTACHED I kPLEXI IMULTI-FAMILY-#OF UNITS, COMMERCIAL USE OF BUILDING: cAL CONTRACT PRICE OF WORK: $600 NUMBER OF DEVICES (if low voltage): FIRE ALARM? L-3 YES I v1 INO ASSOCIATED BUILDING PERMIT# (if applicable). DESCRIPTION OF WORK: 2 CIRCUITS FOR HEAT PUMP OWNER NAME: STEVEN JANSEN TENANT NAME(if Commercial): OWNER MAILING ADDRESS: STREET 2227 127TH PL SE CITv EVERETT WA STATE 98208 OWNER PHONE:425-337-0507 OWNER EMAIL: CONTRACTOR NAME:Washington Energy Services CONTRACTOR ADDRESS: STREET3909 196th St SVV CITY Lynnwood srAm;' WA ZIP 98036 CONTRACTOR PHONE:800-398-4663 1CONTRACTOR EMAIL:JENNIFER@NWPERMIT,COM CONTRACTOR LIC.#(R.F.Q I. ]RED).WASH IES854NG exp 09107117 ICITY OF EVERETT BUSINESS LIC.#(REQUIRED1054773 ........ ........ PRIMARY CONTACT: El OWNER 01CONTRACTORbTHEIR(Please Specify) JENNIFER COVE1.1-01 AGENT:NW PERMIT a CONTACTNAME: CONTACT PHONE:206-774-9499 JENNIFER COVELLO CONTACT EMAIL:JENNIFER@NWPERMIT.COM AGREEMENT T hereby certify that I have read and examined this application and know the sarrio to be Into and correct. All provisions oflaws,and ordinances governing this type of work will be iximpleled whether specified herein or not. The granting of permit does not presume to give authority to violate or cancel the provisions of any other stale or local law regulating construction or the perforrnance.or coristruction. That I am authorized by rhe 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 OffiC181 US&Only FEE 60 Digitally signed by Jennifer Covello PERMIT# DN:cn=Jennifer Covello,o,ou err)ai(F:jennifer(cgnwparmi. t -us 03/14/2016 Date!2016.03.14 13:55:57-07'00' E Owner/Authorized Agent Signature Dale (Revised 10/12/2015)