5729 BROADWAY 2017-06-09 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION rr CITY OF EVERETT PERMIT SERVICES 3200 CEDARSTREET, EVERETT, WA 98201 (P)425-257-8810 ( FAX 425-257-8887 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE II+IO+�RMATION PROJECT ADDRESS: 5729 Broadway SE Ave Everett WA 98203 BUILDING AREA(if residential,new construction,remodel,or addition}_ SE BUILDING TYPE: © SFR-DETACHED 0 SFR-ATTACHER C7 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Residential ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 750.00 NUMBER OF DEVICES (if low voltage), FIRE ALARM? 0 YES 21 NO ASSOCIATED BUILDING PERMIT#(if aeglicable): DESCRIPTION OF WORK: ADDING TO PERMIT NUMBER,IE1704-010, 200amp Service and Meter upgrade CONTACT-INFORMATION OWNER NAME:Breanna Nyeazl oENANT NAME Iff Commercial): OWNER MAILING ADDRESS: STREET 5729 Broadway S E Ave CI,.,Everett STATE WA z,, 98203 OWNER PHONE: 425-563-0103 OWNEREMAIL:brenyeazi@hotmaii.com CONTRACTOR NAME: SeaTown Electric Corp. CONTRACTOR ADDRESS: 8FREE I P.0 BOX 75538 crry Seattle NATE WA zip 98125 CONTRACTOR PHONE: 206-905-3690 CONTRACTOR EMAIL: info@seatowneleGtriC.com CONTRACTOR LIC.#(REQUIRED). SEATOEC86ORB CITY OF EVERETT BUSINESS LIC.#(REQUIRED):53916 PRIMARY CONTACT: ❑OWNER ®CONTRACTOR d OTHER(Please Specify) CONTACT NAME. CONTACT PHONE: 206-905-3690 Brandon Phillips CONTACT ENTAIL: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 doe.;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 authodz€sd 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. n of Everett Official Use Only \ RMIT# ner/A oriz en signature Date (Revised 912312016)