321 72ND ST SE 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 � www.everettwa.gov/permits PRCI�IEGT SITE INFORMATION PROJECT ADDRESS:321 72nd St SE BUILDING AREA (if residential, new construction, remodel, or addition) SF BUILDING TYPE: �✓ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: ❑ COMMERCIAL usE oF Bui�oiNc: � 11 Single Family Residence - Detached CONTACT INFORMAT�ON '` ' OWNER NAME: ROCI(I@ VaCldefj�00I TENANT NAME (If Commercial): OWNER MAILING ADDRESS: srREEr321 72nd St SE ��n Everett STATE WA Z,P 98203 OWNER PHONE:425-290-� O73 OWNER EMAIL: CONTRACTOR NAME: Washington Energy Services CONTRACTOR ADDRESS: srReer 3909 196th St SW ��n Lynnwood STATE WA Z,P 9803 CONTRACTOR PHONE:2O6-37H-664H CONTRACTOR EMAIL:deaQle Q�WaSI1111gtOC1@fl2fgy.COCTI coNT�CTOR ��C. #�REQuiREo�: WASHIES854NG CITY OF EVERETT BUSINESS LIC. #(REQUIRED) 054773 PRIMARY CONTACT: ❑ OWNER ✓❑CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE:2O6-37H-664S DeAn na Eag le CONTACT EMAIL:deagle@washingtonenergy.com AGREEMENT: T hereby certify that I have read and examined this application and know the same to 6e frue and correct. All provisions of laws and ordinances 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 cancel the provisions of any other state or local law regu/ating construction or the performance of construction. That I am authorized by the owner of this property to pertorm the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296_ 200 WAC. DeAnna Eagle - - � - � �iio�i�s Owner/Authorized Agent Signature Date City of Everett Officia/ Use Only FEE �-S - PERMIT # E �c�cc-�sb (Revised 10/12/2015)