3817 HOYT AVE 2016-09-30 - Laserfiche WebLink

May 18 16 11:41 a Russell Darby (425)787-3386 p.1 • • Ca -R� ELECTRICAL PERMIT APPLICATION �a CITY OF EVERETT PERMIT SERVICES OL 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa_gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3817 Hoyt Ave, Gvcrett WA 98201 BUILDING AREA(if residential,new construction,remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ® SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: Residential ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 2500.00 NUMBER OF DEVICES if low voltage): FIRE ALARM? ❑YES ® NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: -Upgradin, a 100a panel and meter to a new 200a panel and meter. CONTACT INFORMATION OWNER NAME: Shannon McDonald TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3817 Hoyt Ave crrr Everett STATE WA zip 98201 OWNER PHONE: 206 604-4741 OWNER EMAIL: CONTRACTOR NAME: RLD Electric CONTRACTOR ADDRESS: STREEr 23 170th Place SE CITY Bothell STATE WA ZIP 98012 CONTRACTOR PHONE: 425 770-1307 CONTRACTOR EMAIL: r1darbx2@juao-conn CONTRACTOR LIC.#(REQUIRED): RLD**997M0 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):SIeCs PRIMARY CONTACT: ❑OWNER Zl CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425 770-1307 1 Russell Darby CONTACT EMAIL: rldarbx2@juno.com AGREEMENT T hereby certiry 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 140 Cal law regulating construction or the performance of construction. That 1 am authorized by the owner of this property to perform thew"for which application is made and t comply with the State Contractors Law 18.27 RCW and 296.200 WA C. City of Everett Offciar Use Only FEE 0 PERMIT# A 5AD OwnedA d t gent Signature NDate (Revised 1011212015)