705 92ND ST SE 2017-01-13 - Laserfiche WebLink

� � � �ECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 9$20'I (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SlTE'IMFORMATI4N PROJECT ADDRESS: 7fl5 92nd St SE EVeI'Btt, WA 98208 BUILDING AREA (if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: � COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION COtVTRACT PRICE OF WORK: $ 3,044.50 NUMBER OF DEVIGES (if low voltage : 1 FIRE ALARM? ❑ YES ❑ NO ASSOCIATED BUILDING PERMIT # if a licable : DESCRIPTION OF WORK: Replace Furnace Like In Kind CONTACT INFORMATFON OWNER NAME: Vernon Redden TENANT NAME (If Commereial): OWNER MA�LING ADDRESS: sTReeT �d5 92nd St SE cir, Everett STATE WA ziP 98208 OWNER PHONE: 425-309-7311 OWNER EMAIL: chipper206@yahoo.com CONTRACTOR NAME: Andgar Corporation CONTRACTOR ADDRESS: sraeer 6920 SalaShan PkWy A-102 PO BOX 2708 �in, Ferndale STATE WA ZiP 98248 CONTRACTOR PHONE: 3&0-366-9900 CONTRACTQR EMAIL: COI'poi'atB�a alldgaP.00111 CONTRACTOR LIC. #(REG2UIRED): ANDGAC"011 L5 CITY OF EVERETT BUSINESS LIC, #{REQuIRE : 24869 PRIMARY GONTACT: � OWNER � CONTRACTOR ❑ OTHER (Piease Specify} CONTACT NAME: CONTACi PklONE: CONTACT EMAIL• AGREEMENT: f hereby ceRify 2hat I have �ead and examined this appiication and know the same to be true and correci. AU provisions ot laws and ordinances governing tl�is type of work will be completed whether specified herein or not The granting of a permit does nat presume to give authority to violate or cance! the provisions o! any ofher state or local iaw regulating construction or the perfo�mance of construction. That ! am authorized by the owner of lhis properfy tn perform the work for whrch applicafion is made and i comply wiih the State Contractors Law 18.27 RCW and 29&.200 WAC. Marla J Raske °'��taiiy S�9"ed by Maria J Raske OwnerlAuthorized Agent Signature 1 �/2112016 Date City of Everett Official Use Only PERMIT # E��o�� (Revised 9/23/2016)