10117 MONTANA RD 2016-10-03 - Laserfiche WebLink

?LECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I vwvw.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 10117 Montana Road, Everett, WA 98204 BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: aSFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: Residence ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 2,500.00 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑ YES 19 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Electrical panel changes, 200AMP split bus to 200amp main breaker with generator transfer circuit breaker. Replace a 125amp panel to a new 125 amp panel. Install generator feeder. CONTACT INFORMATION OWNER NAME: Gunnar Petzold TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 10117 Montana Road ciTy Everett STATE WA ZIP 98204 OWNER PHONE: 425-745-2607 OWNER EMAIL: gpetzold@aol.com CONTRACTOR NAME: Innovative Electric, Inc. CONTRACTOR ADDRESS: STREET P.O. Box 4399 cin. Everett STATE WA z.. 98204 CONTRACTOR PHONE: 425-290-7803 CONTRACTOR EMAIL: donna@innovative-electric.com CONTRACTOR LIC.#(REQUIRED): INNOVE1055KE CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 36828 PRIMARY CONTACT: ❑AOWNER ❑ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: Gunnar Petzold CONTACT PHONE: 425-745-2607 CONTACT EMAIL: gpetzold@aol.com AGREEMENT.T hereby certify that l 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 FEE PERMIT# Owner/Authorized Agent Signat Dat (Revised 10/12/2015)