2407 56TH ST SW 2017-06-07 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 ( FAX 425-257-8857 1 (E) everetteps@everettwa.gcv I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2407 56th St SW Everett WA 98203 BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED IZI SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: Residential ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ $750.00 NUMBER OF DEVICES (if low vclta e): FIRE ALARM? ❑YES ❑NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: Install a circuit to accommodate an EV charger CONTACT INFORMATION OWNER NAME: Scott Corwin TENANT NAME If Commercial): OWNER MAILING ADDRESS: sTR,, 2407 56th St SW C,T, Everett STATE WA z, 98203 OWNER PHONE: OWNER EMAIL:TSCorwin@gmall.com CONTRACTOR NAME: Seahurst Electric CONTRACTOR ADDRESS: sTREer 29155 Chestnut St. CITY Everett STATE WA ZIP 98201 CONTRACTOR PHONE: 425.258.5126 CONTRACTOR EMAIL: swillmorth@seahurst.com CONTRACTOR LIC.#(REQUIRED): SEAHUE1099QN ICITY OF EVERETT BUSINESS LIC.#(RE IRED): 18763 PRIMARY CONTACT: ❑OWNER O CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.238.7724 Rob Layes CONTACT EMAIL: rlayeS@seahurst.com AGREEMENT.I hereby certify that t 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 specked 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 1 am authorized by the owner of this property to perform the work for which application is made and t comply with the State Contractors taw 16.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# � E r wneriAuthorized Agent Signature Date (Revised 9/23/2016)