2512 MONROE AVE 2017-07-12 - Laserfiche WebLink

Apr, 19, 2017 1 : 58PM No. 5183 P. 1 ;LECTRICAL PERMIT ) PLICA' iuw CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 FAX 425-257-8857 1 (E) everetteps(geverettwa_gov I www.everettwa.gov/permits PROJECT SITE INFORMATI.0I+1 PROJECT ADDRE55: /,� l BUILDING AREA(if residential, new construction, model or addition) "F S BUILDING TYPE: FR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX 'i❑ MULTI-FAMILY-#OF UNITS; ❑ COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES if low voltage): FIRE ALARM? ❑ YES ❑ NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: NM 0�J— \A P-W ) CONTACT INFORMATION OWNER NAME: TENANT NAME if Commercial): h OWNER MAILING ADDRESS: STREET I�+�i \�7�� QN- CITY Q], STATE ZIP , a OWNER PHONE: L5' -W OWNER EMAIL: CONTRACTOR NAME: G&S HEATING CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE cjry EVERETT STATE WA Z,P 98201 CONTRACTOR PHONE: 425-252-4402 CONTRACTOR EMAIL: DAWN@GSHEATING.COM CONTRACTOR LIC.#(REQUIRED): GSHTGSH930RK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 019865 PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-252-4402 PAWN WEENIER CONTACT EMAIL: DAWN @GSHEATING.COM AGREEMENT:1 hereby certify that]have read and examined this application end know the same to be true and con-act. All provis/ons of laws and ordinances govamIng th/s type of work will be completed whether specl/led 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 construetlon or the performance of construct/on. That/am authorized by the ownar of this property to perform the work for which application is made and t comply with the Stale Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# Owner/Authorized Aosnt Signature Date (Revised 9/23/2016)