3413 W MUKILTEO BLVD 2017-01-13 - 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 � wuvw.everettwa.gov/permits PROJECT SITE INFORMATIiIN PROJECT ADDRESS:3413 W MUkllt@0 BIVd BUILDING AREA (if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑✓ SFR-DETACHED ❑ SFR-ATI"ACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: ❑ COMMERCIAL use oF Bui��iNc:111 Single Family Residence - Detached ELECTRIGA� APPLICATION INF�i►RMAT�t�N CONTRACT PRICE OF WORK: $480.00 NUMBER OF DEVICES if low volta e: � FIRE ALARM? ❑ YES ❑ NO ASSOCIATED BUILDING PERMIT # if a licable : DESCRIPTION OF WORK: CONTACT #NFORMATlON OWNER NAME: SUSaCI Hage�j/ TENANT NAME (If Commercial): OWNER MAILING ADDRESS: sTREer3413 W Mukilteo Blvd CITY Everett STATE ••• ` Z�p 98203 owNER PHONE:425-514-8404 owNER EMAi�:suandmat@hotmail.com CONTRACTOR NAME: Washington Energy Services CONTRACTOR ADDRESS: sTReEr 3909 196th St SW �,n Lynnwood STATE WA Z,P 98036 CONTRACTOR PHONE:2O6-37$-664H CONTRACTOR EMAIL:deagl2�q WaSI11t1gt0112C12C'gy.00171 CONTw4CTOR ��C. #�REQuiREo>: WASHIES854NG CITY OF EVERETT BUSINESS LIC. #(RECIUIRED): 054773 PRIMARY CONTACT: ❑ OWNER 0✓ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE:2O6-37H-664S DeAnna Eagle CONTACTEMAIL:deagle@washingtonenergy.com AGREEMENT: T hereby certify that I 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 wil/ be completed whether specified herein or not. The granting of a permit does not presume to give authority to vio/ate or cancel the provisions 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 I comp/y with the State Contractors Law 18.27 RCW and 296.200 WAC. DeAnna Eagle = � . -:..: .:..�..;,_, �oi�v�s OwnerlAuthorized Agent Signature Date City of Everett Officia/ Use Only FEE �l �� PERMIT # E I (��d ' 0�3 (Revised 10/12/2015)