8305 UPPER RIDGE RD 2017-07-17 - Laserfiche WebLink

May, 16. 2017 10: 120 No. 5299 F. 1 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES OL 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-2578810 1 FAX 425-257-8857 I (E) everetteps@everettwa.gov ] www,everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: r BUILDING AREA(if residential, new construction, rem del,or addition) 1 175 SF BUILDING TYPE: SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: Q COMMERCIAL USE OF BUILDING: /` ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES If low voltage); FIRE ALARM? -�'S ❑NO ASSOCIATED BUILDING PERMIT# if applicable); DESCRIPTION OF WORK; ',:L i OU CONTACT INFORMATION OWNER NAME: t TENANT NAME If Commercial): OWNER MAILING ADDRESS: STREE 7 CITY 6TATE ZIP r OWNER PHONE: —5 Lf o 1OWNER EMAIL: CONTRACTOR NAME: G&S HEATING CONTRACTOR ADDRESS: sT111T 3409 EVERETT AVE CITY EVERETT STATE WA 21a 98201 CONTRACTOR PHONE: 425252-4402 CONTRACTOR EMAIL: DAWN@GSHEATING.COM CONTRACTOR LIC_#(REQUIRED: GSHTGSH930RK JCITY OF EVERETT BUSINESS LIG.#(REQUIRED): 019865 PRIMARY CONTACT: ❑OWNER 10 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.2524402 DAWN WEIMER CONTACT EMAIL: DAWN@GSHEATING.COM AGREEMENT I hereby CeRiry that/have read and examined this application and know the same to he hue and correct, All provisions of laws and ordinances governing this typo of work will be Completed Whetherspecl6ed herein or not. The granting of a permit does not presume to give aufhorfty to violate or cancel the provisions of any Other state or local low regulating construction or the partormence of construction, That/am authorized by the owner of thls property to perform the work tor which application is made and] comply with the State Contractors law 16,27 RCW and 296.200 WAC. City of Everett official use Only PERMIT# - c , -11 OwnerlAuthorized Ag nt Signature Date (Rev/se(i 9/23/2016)