408 ROSE WAY 2016-10-04 - 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 INFORMATION PROJECT ADDRESS: =�08 Rose VV�y, Everctt, W�� 98203 BUILDING AREA (if residential, new construction, remodel, or addition) �^124 SF BUILDING TYPE: QSFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: ❑ COMMERCIAL USE OF BUILDING: Sinhle f�mih residence ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ �•�►� NUMBER OF DEVICES (if low voltage): nne electric meter FIRE ALARM? ❑ YES L� NO ASSOCIATED BUILDING PERMIT # (if applicable): DESCRIPTION OF WORK: Need inspection of ineter basr to have eletricit�� restore� by Snohomish County PUD. CONTACT INFORMATION OWNER NAME: Wells Fargo B�nk, NA c/o Ecl Watts TENANT NAME (If Commercial): OWNER MAILING ADDRESS: sTReeT 17225 Sth Avenue West cirr Bothell srnre VVA ziP 98012 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: sTReeT CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC. #(REQUIRED): CITY OF EVERETT BUSINESS LIC. #(REQUIRED): PRIMARY CONTACT: �OWNER ❑ CONTRACTOR L� OTHER (Please Specify) Ed Watts - propert}� m�nager CONTACT NAME: CONTACT PHONE: 206-6(0-2887 Ed Watts CONTACT EMAIL: ednu,property-lst.com AGREEMENT: T hereby certify that 1 have read and examined this application and know the same to be true and correct. A!I provisions of laws and ordinances governing this type of work will be completed whether specified herein or not Tl�e granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local !aw regulating construction or the performance of constn�ction. That 1 am authorized by tlie owner of this property to pertorm the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. Owner/Authorized Agent Signature Date City of Everett Official Use Only FEE �� PERMIT # E � l� �3-� d (o (Revised 10/12/20?5)