3724 GRAND AVE 2016-11-01 - Laserfiche WebLink

i 0 ELECTRICAL 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 www.everettwa.gov/permits nRQJECT SITE NOli IATI+DM PROJECT ADDRESS:3724 Grand Ave BUILDING AREA(if residential,new construction, remodel,or addition) SF BUILDING TYPE; IRISFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING:1 11 Single Family Residence - Detached ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $9,223.01 NUMBER OF DEVICES(if low Voltage): FIRE ALARM? ❑YES ❑NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: I _ + N"1"AC I '1 1150i ATION OWNER NAME: Tarry WOW— TENANT NAME(if Commercial): OWNER MAILING ADDRESS: ITREIT3724 Grand Ave C,7Y Everett SIML WA „F 98201 OWNER PHONE:425-754-8596 OWNER EMAIL:twchance@hotmall.COm CONTRACTOR NAME:Washington Energy Services CONTRACTOR ADDRESS: sTRE,3909 196th St SW CITY Lynnwood sTATL WA Z!P 98036 CONTRACTOR PHONE:206-378-6927 CONTRACTOR EMAIL:eonat@washingtonenergy.com CONTRACTOR LIC,#(REQUIRED)-.WASHIES854NG CITY OF EVERETT BUSINESS LIC.#(REOUIf2EDY 054773 PRIMARY CONTACT. ❑OWNER ERICO NTRACTOR ❑OTHER(Please Specify)__ CONTACT NAME: CONTACT PHONE:206-378-6927 Ethan O n a}l CONTACT EMAIL:eonat@washingtonenergy.com AGREEMENT.,T hereby certify that/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 note The granting of a permit does not presume to give authority to violate or cancel the provis,,ons of any other state or local law regulating construction or the performance of construction. That!am authorized by the owner of this property to perform the work for which application is made and t comply with the State Contractors Law 18,27 RCW and 296,200 WAC City of Everett Official Use Y?ttty FEE -00 08/104/201b E �� — U OwnerlAuthorized A49ture- Date 'Revised t2 t.'.?Ci&)