2832 104TH PL SE 2017-06-07 - Laserfiche WebLink

ECTRICAL PERMIT AF _ICATION 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 ?'L PROJECT SITE INFORMATION PROJECT ADDRESS: •-2$'28 104tH PI SE BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: M SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: Residential ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 715.00 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: Run new 30amp circuit for installation of A/C CONTACT INFORMATION OWNER NAME: Ada COTe TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET ' ? /Z V! CITY / S/ U/-/Ok?fSTATE ZIP OWNER PHONE: � 2 (Z �1 OWNER EMAIL: CONTRACTOR NAME: Cisco Electric Inc CONTRACTOR ADDRESS: STREET 22612 92nd Ave W CITY Edmonds STATE WA ZIP 9$020 CONTRACTOR PHONE: 425-778-3572 CONTRACTOR EMAIL: maria@ciscoelectric.com CONTRACTOR LIC.#(REQUIRED): CISCOE1914DE CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 042432 PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: Frankie Martinez CONTACT PHONE: 206-595-6359 CONTACT EMAIL: frankie@ciscoelectric.com AGREEMENT.Thereby 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 1 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# E