1315 PACIFIC AVE 2016-10-04 - Laserfiche WebLink

� �� �ECTRICAL PERMIT AP�ICATION 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 StTE INFORMATfON PROJECT ADDRESS: 1315 Pacific Ave BUILDING AREA (if residential, new cortstruction, remodel, or addition) 100 SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX � MULTI-FAMILY -# OF UNITS: 100 ❑ COMMERCIAL USE OF BUILDING: Residential ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 200 NUMBER OF DEVICES (if low volta e): FIRE ALARM? ❑ YES IJ NO ASSOCIATED BUILDING PERMIT # if ap licable : DESCRIPTION OF WORK: Extend existin ower outlet to accommodate communications e ui �nent. �� -� CONTACT INFORMATION OWNER NAME: TENANT NAME (If Commercial?: OWNER MAILING ADDRESS: srrzeEr CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Cannon Construction CONTRACTOR ADDRESS: srHeer 406 Porter Wa CITY Milton STATE WA ZIP 98354 CONTRACTOR PHONE: 253-922-2787 CONTRACTOR EMAIL: SUT ER a r t' inc.co CONTRACTOR LIC. #(REQUIRED): CANNOC1873CL CITY OF EVERETT BUSINESS LIC. #(REQUIRED): Ci'��G� ( PRIMARY CONTACT: ❑ OWNER � CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: 253-405-1454 Shaun Sutter CONTACT EMAIL: SSUTTER@cannonconstructioninc.com NGKFEMENI: T hereby certrly that J have read and examined this appiication and know the same to be true and correct All provisions of laws and ordinances goveming this type of work will be completed whether specified herein or not. The granting of a permit does not preswne to give authonty to violate o� cance! the provrsions of any other state or local !aw regulatrixJ construction or the performance of construction. That ! am authorized by the owner of mis property to perlorm the work for which application is made and ! compty wdh the Stafe Cor�tractors Law 15.27 ftCW and 296.200 Wf4C. 8ignature ��7i� Date City of Everett Officral Use Only FEE 5� -�� PERMIT # E(�e�-c��{�l (Revised 10/12/2015)