4825 W VIEW DR 2017-07-17 - Laserfiche WebLink

Mar. 7. 2017_ 1 : 03PM No- 4986 P. 1 ECTRICAL PERMIT AF -(CATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www,everettwa.gov/permits PROJECT SITE INFORMATION ; c PROJECT ADDRESS: `�, \J�/ . i BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ t NUMBER OF DEVICES if low voltage): FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: �o CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial), OWNER MAILING ADDRESS: STREET CIN STATE 1,A ZIP OWNER PHONE: SLS 'Z S OWNER EMAIL: CONTRACTOR NAME: G&S HEATING CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE CITY EVERETT STATE WA ZIP 98201 CONTRACTOR PHONE: 425-252-4402 CONTRACToR EMAIL: DAWN@GSHEATING.COM CONTRACTOR LIC.#(REQUIRED): GSHTGSH93ORK CITY OF EVERETT BUSINESS LIC.#REQUIRED : 019865 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-252-4402 DAWN WEIMER CONTACT EMAIL: DAWN@GSHEATING.COM AGREEMENT:I hereby certify that I have read and examined this applicatlon and know the same to be true and correct. all provisions of laws and ordinances gcveming this type of work will be completed whether specified herein or not. Ths granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating constr:fction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 16.27 RCW end 296,200 WAC. City of Everett Official Use Only PERMIT# E Po S - o OwnerlAuthorized Agent Signature Date (Revised 9/23/2016)