1928 112TH PL 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 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1928 112th PI SE Everett, WA 98204 BUILDING AREA(if residential, new construction, remodel, or addition) remodel 10 SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: Residential SFR ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ time and material not to exceed $600 NUMBER OF DEVICES (if low voltage): 2 FIRE ALARM? ❑YES ONO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Adding 2 circuits for a closet remodel CONTACT INFORMATION OWNER NAME: Pat Everett TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1928 112th PI SE CITY Everett STATE WA zip 98204 OWNER PHONE: 636 373 2401 OWNER EMAIL: CONTRACTOR NAME: Midpoint Construction & Electric, LLC CONTRACTOR ADDRESS: STREET 22508 1 st Dr. SE CITY Bothell STATE WA ZIP 98021 CONTRACTOR PHONE: 2069197898 CONTRACTOR EMAIL: Info@Callmldpoint.Com CONTRACTOR LIC.#(REQUIRED): MIDPOCE864DK CITY OF EVERETT BUSINESS LIC.#(REQ RED): Applied PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR Q OTHER(Please Specify) Administrator CONTACT NAME: CONTACT PHONE: 206 919 7896 — Sheryl Ricker CONTACT EMAIL: Info@Callmldpoint.com AGREEMENT./hereby certify that/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 l 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 PERMIT# 1 /13/16 E ' Owner/Authorized Agent Signature Date (Revised 9/23/2016)