2712 PINE ST 2017-07-14 - Laserfiche WebLink

ELECTRICAL PERMIT PPLIC ATI N CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E)everefteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECTADDRESS. 2712 Pine ST. BUILDING AREA(if residential,new construction,remodel,or addition)20 SF BUILDING TYPE: ❑SFR-DETACHED ®SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: residential ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 350 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES R1 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Install new 30 amp circuit to heat pump and install outdoor GFCI receptacle CONTACT INFORMATION OWNER NAME: Sara {son TENANT NAME If Commercial): OWNER MAILING ADDRESS: srReEr 2712 Pine ST. crrr Everett STATEWA ZIP 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: RB Electric CONTRACTOR ADDRESS: ,,r 2047 NW 197th ST. eny Shoreline STATE WA vP 98177 CONTRACTOR PHONE: 206-949-5859 CONTRACTOR EMAIL: dCkg54@hotmaii.Com CONTRACTOR LIC. REQUIRED: RBELE**136K7 ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): 053561 PRIMARY CONTACT: ®OWNER ❑CONTRACTOR ®OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-510-7909 Sara Ison CONTACT EMAIL: AGREEMENT;1 hereby cettDy that I have read and examined this application and know the same to be hue and corract All provisbns oflaws and ordinances governing this ty of work will be completed whether spscfBad herein or noL The granting of a permit does not presume to ghre authority to violate or cancel the pmvisWS 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 ft work for which appllcatfm is made and t comply with the State Confractors Law 16.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# Q� Owner/Authorized Agent signature' Date (revised 9/"1312015)