120 75TH ST SW 2017-03-13 - Laserfiche WebLink

FROM :Dick Howard & Sons Elect FAX NO. :4257765895 Oct. 96 2916 06: 13PM P2 ,141 --- 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@everettwagov I www,everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 120 75th St SW BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: m SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS; ❑COMMERCIAL USE OF BUILDING: Residential . ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 1600 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES Il NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK; Add circuit for microhood, add/relocate outlets, lights & switch CONTACT INFORMATION OWNER NAME: Nancy Evans TENANT NAME(If Commercial): OWNER MAILING ADDRESS: SrituET 120 75th St SW CITY Everett STATE WA ZIP 98203 TOWNER PHONE: 425-330-2155 N'OWNER EMAIL: CONTRACTOR NAME: DICK HOWARD & SONS ELECTRIC CONTRACTOR ADDRESS: STREET 6623 214TH ST SW c,ry LYNNWOOD STATE WA 21P 98036 CONTRACTOR PHONE: 425-775-1918 CONTRACTOR EMAIL: DHSEIJENNIFER@GMAIL.COM CONTRACTOR LIC.#(REQUIRED): DICKHSE132RU CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 019446 PRIMARY CONTACT: El OWNER El CONTRACTOR VI OTHER(Please Specify) OFFI( MANAGER CONTACT NAME: CONTACT PHONE: 425-775-1918 JENNIFER EDELBROCK CONTACT EMAIL;DHSEIJENNIFER@GMAIL.COM AGREEMENT:I hereby certify that I have reed end examined this application and know the same to be true end correct. Ail provisions of laws and ordinances governing this type of work will De 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 at 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 16,27 RCW and 296.200 WAC. City of Eyerctt Official Lice Only + PERMIT# .1_. al ‘...._.--- „ ,RIV - • .( E Lo (0— 030 o :riauthorigent Signature Date (Revised 9/23/20/8)