1931 RUCKER AVE 2017-06-29 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE INFQRMATtON PROJECT ADDRESS:�931 RUCk@f AVe BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑✓SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL usE oF Bui�oiNc:11 1 Single Family Residence - Detached ELECTRICAL APPLICATION INFORMAT#ON CONTRACT PRICE OF WORK: $6000.00 NUMBER OF DEVICES if low volta e :� FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT# if a licable : DESCRiPTION OF WORK: CONTACT INF�RMATION OWNER NAME: Alall Tetl'aUlt TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTReer1931 Rucker Ave ��,-Y Everett STATE WA Z,P 98201 owNER PHONE:425-345-5608 owNER EMAi�:boxmanalan@gmail.com CorvTRacTOR NannE:Washington Energy Services CONTRACTOR ADDRESS: srREEr 3909 196th St SW �,n Lynnwood STATE WA Z,P 98036 CONTRACTOR PHONE:2OC-37H-664$ CONTRACTOR EMAIL:deagle C�l WaShICIgtOCI@Clefgy.00111 coNTRACTOR LIC.#�REQuiRE��:WASHIES854NG CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 054773 PRIMARY CONTACT: ❑ OWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:2O6-37H-664S DeAn na Eag le CONTACT EMAIL:deagle@washingtonenergy.com AGREEMENT:T 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 1 am authorized by the owner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE �'l5.�� PERMIT# DeAnna Eagle - - � -- ' �aiv�6 � � 1, �O L� Owner/Authorized Agent Signature Date (Revised 10/12/2015)