4406 29TH AVE SE 2017-06-07 - Laserfiche WebLink

11" LECTRICAL PERMIT ArPLICATION, CITY OF EVERETT PERMIT SERVICES IGINAI 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: 4406 29TH AVE SE ^^ BUILDING AREA(if re idential, new construction, remodel, or addition) CIAND SF BUILDING TYPE: Ff SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL usE of BUILDING: RESIDENTIAL ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 600.00 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: ADD CIRCUIT FOR OUTDOOR UNIT CONTACT INFORMATION OWNER NAME: THOMAS/LISA PARKINSON TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 4406 29TH AVE SE CITY EVERETT STATE WA Z.. 98203 OWNER PHONE: 206-355-7357 OWNER EMAIL: CONTRACTOR NAME: BLUE FLAME HEATING AND AIR CONDITIONING CONTRACTOR ADDRESS: STREET 7116 220TH ST SW, #1 CITY MOUNTLAKE TERRACE STATE WA Zip 98043 CONTRACTOR PHONE: 425-771-7139 CONTRACTOR EMAIL: INFO@BLUEFLAMECOMFORT.COM CONTRACTOR LIC.#(REQUIRED): BLUEFFH845QA CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 052790 PRIMARY CONTACT: ❑ OWNER &CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: 425-771-7139 NAQUIN GRAY CONTACT EMAIL: INFO@BLUEFLAMECOMFORT.COM AGREEMENT.'T 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 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 state 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE PERMIT# flr,, 3/15/17 En`b� I "�/ Owner/Author z d Agent Signatury__ _[ Date (Revised 10/12/2015)