3220 56TH ST SW 2017-06-07 - Laserfiche WebLink

E"TRICAL PERMIT APF-CATION 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: 3220 56th St SW BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: ❑ SFR-DETACHED 0 SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL uSE OF BUILDING: Residential ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 850 NUMBER OF DEVICES if low voltage): FIRE ALARM? ❑ YES IBJ NO ASSOCIATED BUILDING PERMIT# if a licable : DESCRIPTION OF WORK: install 2- 40amp 240 volt circuits (oven , cook top CONTACT INFORMATION OWNER NAME:Ken Gabeleln TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sT11IT 3220 55th St sw ,,n Everett STATr, WA zip 98203 OWNER PHONE: 425-772-0442 OWNER EMAIL:kgabeleln@frontier.com CONTRACTOR NAME: SeaToWn Electric Corp. CONTRACTOR ADDRESS: STREET PO Box 75538 ci,v Seattle srnrE WA z,, 98125 CONTRACTOR PHONE: 205-905-3690 1CONTRACTOR EMAIL: info@seatownelectric.com CONTRACTOR LIC.#(REQUIRED): SEATOEC86ORB ICITY OF EVERETT BUSINESS LIC.#(REQUIRED):53916 PRIMARY CONTACT: ❑OWNER ® CONTRACTOR ❑OTHER(Please Specify) __.. CONTACT NAME: CONTACT PHONE: 206-905.3690 Brandon Phillips CONTACT EMAIL:info seatownelectric.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 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 t am authorized by the owner of this property to perform the work for which application is made and t comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# Owner/Authorized Agent Sign-lW16, Date (Revised 912312016)