6020 ROCKEFELLER AVE 2017-01-18 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:6020 Rockefeller Ave BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: C✓SFR-DETACHED ❑ SFR-ATTACHED E DUPLEX El MULTI-FAMILY-#OF UNITS. 0 COMMERCIAL USE OF BUILDING:11 1 Single Family Residence - Detached ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $1026 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: • •'s• —_ , • •_, . gm• CONTACT INFORMATION OWNER NAME: Bud Everett TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET6020 Rockefeller Ave CITY Everett STATE WA ZIP 98203 OWNER PHONE:425-31 5-3804 OWNER EMAIL: CONTRACTOR NAME:Washington Energy Services CONTRACTOR ADDRESS: STREET 3909 196th St SW CITY Lynnwood STATE WA zIP 98036 CONTRACTOR PHONE:206-378-6648 CONTRACTOR EMAIL:deagle@WashingtOnenergy.COm CONTRACTOR LIC.#(REQUIRED):WASHIES854NG CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 054773 PRIMARY CONTACT: 0 OWNER ✓❑CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-378-6648 DeAnna Eagle CONTACT EMAIL:deagle@washingtonenergy.com AGREEMENT T hereby certify that I have read and examined this application and know the same to be true and correct. Al/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 regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE PERMIT# DeAnna Eagle he p. "-:=-°'':=-1"-..,. 11/10/16 E I ( ( 0'4 S Owner/Authorized Agent Signature Date (Revised 10/12/2015)