4727 SEAHURST AVE 2017-08-02 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-881Q � FAX 425-257-8857 � (E)everetteps@everettwa.gov � www.everetiwa.gov/permits PROJECT SITL° INFORMATION PROJECT ADDRESS: 4727 SBahUfSt AVe, Everett WA 98203 BUILDING AREA(if residential, new construction, remodei,or addition} 936 SF (9ara9e Only) BUILDING TYPE: �SFR-DETACHED ❑SFR-ATTACHED CI DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE oF BUI�D�NG: SINGLE FAMILY RESIDENCE ELECTRICAL APPLICATION INFORMATION CONTRACT PRfCE OF WORK: $ time and material NUMBER OF DEVICES if kow volta e : FIRE ALARM? ❑YES � NO ASSqCIATED BUILDING PERMIT# if a licable : DESCRfPT10N OF WORK: Work to be performed in garage only: Install subpanel,add 8 outlets,add lighting circuit CONTAGT iNEORM/►TION OWNER NAME: ChristOpher&StaCi Johnson TENANT NAME If Commercial): OWNER MAILING ADDRESS: sTREET 4727 Seahurst Ave ciTM Everett STn� WA �P 98203 OWIdER PHONE: 425-280-3522 OWNER EMAIL: CONTRACTOR NAME: Valor Electric LLC CON'fRACTOR ADDRESS: sTaeer PO Box 447 citv Spanaway sra� WA zia 98387 CONTRACTOR PHONE; 253-314-5076 CONTRACTOR EMAIL: manuefa valor-electric,com CONTRACTOR LIC.#(REQUIRED): VALOREL90�4NB CITY OF EVERETT BUSINESS LIC.#(REqUIRED): 055371 PRIMARY CONTACT: ❑OWNER LY1 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 253-314-5076 Manuela DeHerrera CONTACT EMAIL: manuela@valor-electric.com AGREEMENT:T hereby certi/y that 1 have read and examined fh�s applicab'ort and know the same to be true and correct. All provisions of laws and ordinances gov�ming this type of work wilf be completed whether spe�rfied herein w not. The granHng of a permit dces nof prasume to grve authority to violate or cencel the provisions of any other state or loca!Iaw regulating construction or lhe perfwmance oi construction. That I am authorized by the owner of this properly to Aer/wm the wwk tor which app��cation is made and I comply with the State Conhactars Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE '� I b0 9�°� _ PERMIT#O � i � �' � � � � � �� wnerlAutho�ized gent gna ure Date (Revised 10/92/Z015)