5209 S 3RD AVE 2017-06-07 - Laserfiche WebLink

Mar• 21. 2017,12 : 29PM E CTRICAL PERMIT AP CATIUN 9 F. CITY OF EVERETT PERMIT SE �ILS 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8867 1 (E) eve refte ps@eve rettwa.gov.1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 0q S- BUILDING AREA(If residential, new construction, remodel, or addition) SF BUILDING TYPE:,) SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX I--] MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 0 U ' NUMBED OF DEVICES if low volts e): FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT#(If applicable): DESCRIPTION OF WORK: CONTACT INFORMATION OWNER NAME: S TENANT NAME(If Commercial)- OWNER ommercial):OWNER;MAILING ADDRESS: STREET q 5 Qjr-Q� C rry STATE Zip OWNER PHONE: ul/s- `L -- OWNER EMAIL: CONTRACTOR NAME: G&S HEATING CONTRACTOR ADDRESS: sr,,aT 3409 EVERETT AVE c,Tv EVERETT STATE WA Z,p 98201 CONTRACTOR PHONE: 425-252-4402 CONTRACTOR EMAIL: DAWN@GSHEATING.COM CONTRACTOR LIC.#(REQUIRED): GSHTGSH93ORK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 019865 PRIMARY CONTACT. ❑OWNER ❑ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-252-4402 DAWN WEIMER CONTACT EMAIL: DAWN@GSHEATING_COM AGREEMENT.!hereby certify that/have read and examined this application and know the same to be true and correct. All pfovlslons of laws and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permlt does not presume to give authority to violate or cancel tha provisions of any other state or local law regulating construction or the perhbrmance of constructlon, 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 98,27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# Ownar/ utborized Agent Signature Date (R6vi$ed 9/23/2096)