12319 14TH DR SE 2017-05-30 - Laserfiche WebLink

ELECTRICAL PERMIT AP LICATION of-67r CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 12319 14th Dr 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 BUILDING: Residential ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 2000.00 NUMBER OF DEVICES (if low volt e): FIRE ALARM? ❑YES ®-NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: Swapping Old 200A MSP With new 200A MSP CONTACT INFORMATION OWNER NAME: Dave Caldwell TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 12319 14th DR. SE c,T- Everett STATE WA zp 98208 OWNER PHONE: 425-985-1135 OWNER EMAIL: david.caldWE,111@pse.com CONTRACTOR NAME: A and R SOLAR CONTRACTOR ADDRESS: STREET 3211 Martin Luther King JR Way S. CIT' Seattle STATE WA ZIP 98144 CONTRACTOR PHONE: 206-707-9937 CONTRACTOR EMAIL: permits@a-rsolar.com CONTRACTOR LIC.#(REQUIRED): RSOLAS"903JM ICITY OF EVERETT BUSINESS LIC.#(REQUIRED)• 053961 PRIMARY CONTACT: ❑OWNER IZ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360-310-0260 Jesse Anderson CONTACT EMAIL: permits@a-rSOlar.COm .AGREEMENT.I hereby certify that I have read and examined this application and know the same to be true and correct. Ali 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 stale 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/ ;omply with the State Contractors Law 16.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# Owner/AuthorizeaAgent Signature Date (Revised 9/13/2016)