12407 17TH AVE SE 2017-01-18 - Laserfiche WebLink

44-77 .ECTRICAL PERMIT Ar- (CATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 l FAX 425-257-8857 l (E) everetteps@everettwa.gov l www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 12407 17th Ave SE, Everett WA BUILDING AREA(if residential,new construction,remodel.or addition)2042 SF BUILDING TYPE: Ill SFR-DETACHED ❑ SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Primary Residence ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES (ft low voltage): 1 FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Adding additional 50 Amp 220V circuit to garage for an electric car charger. Exisiting 200 AMP Circuit panel is located on opposite side of garage where outlet would be located. Wiring will be ran through PVC pipe from exisitng panel to other side of the garage terminating in a NEMA 14-50 Outlet. CONTACT INFORMATION OWNER NAME:Jerald Garcia TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 12407 17th Ave SE Everett STATE WA zip 98208 OWNER PHONE: 650-255-5954 ,OWNER EMAIL:jfgarcia32@gmail.com CONTRACTOR NAME: Self, Home owner CONTRACTOR ADDRESS: STREET CITY STATE 7IP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: la OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 6550_255_5954 Jerald Garcia CONTACT EMAIL:lfgarcia32@gmail.com AGREEMENT.I 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 wilt 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 lam 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. \ c ( - Oc o City of Everett Official Use Only PERMIT#C Ow r/Authorized Agent Signature Date (Re, •.. 3/2016)