3411 RUCKER AVE 2016-10-04 - Laserfiche WebLink

� �- � �ECTRICAL 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.govlpermits PROJECT SITE INFORMATION PROJEC7 ADDRESS: 3411 Rucker Avenue Everett Wa 98201 BUILDING AREA (if residential, new construction, remodel, or addition) aprox 900 SF BUILDING TYPE: E�SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL use oF Bui��iNc: Rental Property ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ $150.00 to $250.00 NUMBER OF DEVICES (if low volta e): n/a FIRE ALARM? ❑ YES j� NO ASSOCIATED BUILDING PERMIT #(if applicable): n/a DESCRIPTION OF WORK: Replace light switches, outlets & faulty circuit breaker's. Install 2 new baseboard heaters, dishwasher, kitchen and bathroom lighting fixtures. %�•%j%/�-/� G."Gil /�CC�.+�,. �4 C 4:/� l�'"� L�/ �J� %�� CONTACT INFORMATION OWNER NAME: Chris Markezinis John Markezinis TENANT NAME (If Commercial): n/a OWNER MAILING ADDRESS: srReeT 1007 Stitch Road ciTv Lake Stevens STATE WA ziP 98258 OWNER PHONE: 425 334 2056 OWNER EMAIL: lexcorp@hotmail.com CONTRACTOR NAME: OWller CONTRACTOR ADDRESS: sTrzeer Sam�as above STATE :IP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC. #(REQUIRED): CITY OF EVERETT BUSINESS LIC. #(REQUIRED): PRIMARY CONTACT: � OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: 425 359 5g65 John Markezinis CONTACT EMAIL: lexcorp@hotmail.com AGREEMENT: T hereby certify that / have read and examined this application and know the same to 6e true and correct. All provisions of laws and ordi,�ances 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 cance/ the provi:cions of any other state or local law regulating construction or the pertormance of construction. That / am authorized by the owner of this property to perform the work for which ap��lication is made and I comp/y with the State Contractors Law 18.27 RCW and 296.200 W,4C. C�� `� �Q J u ly 15 2016 � Owner/Authorized Agent Signature Date City of Everett C>fficia/ Use Only FEE � �� j✓ PERMIT # E h �� - �� � (Revised 10/12/2015)