12602 22ND AVE SE 2017-06-07 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 (E) everetteps@everettwa.gov www,everettwa.gov/permits PROJECT ADDRESS: 12602 22nd Ave SE, Everett, WA 98208 BUILDING AREA(if residential, new construction,remodel, or addition)1500 SF BUILDING TYPE: la SFR-DETACHED CI SFR-ATTACHED O DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: Home 9 CONTRACT PRICE OF WORK: $ 1100 NUMBER OF DEVICES if low voltage): FIRE ALARM? 0 YES ®NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: Replace existing bath fan with new �IA0. OWNER NAME: Sharon Morrell TENANT NAME If Commercial): OWNER MAILING ADDRESS: STREET Same CITY STATE ZIP OWNER PHONE: 425-422-6846 OWNER EMAIL: CONTRACTOR NAME: Arrow Insulation Inc CONTRACTOR ADDRESS: STREET PO Vernonx 1233 Vdry CITY Mount ernon STATE WA ZIP 98273 CONTRACTOR PHONE: 206-682-9276 CONTRACTOR EMAIL: service@arrowconservation.com CONTRACTOR LIC.#(REQUIRED): ARROW11855M1 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 052485 PRIMARY CONTACT: 13 OWNER 14 CONTRACTOR D OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-686-0002 Eagan Frederickson CONTACT EMAIL: Ifrederickson@arrowaonservation.com AGREEMENT_t hereby certify that t have read and examined this application and know the same to bet"and correct. All provisions of taws and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit tines 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 1 am authorized by the owner of this property to perform the work for which application is made and/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# P E1�0� - 1 � Co n /Authorized Agent Signature D to (Revised 9123,x'1016)