1832 VIRGINIA AVE 2017-08-11 - Laserfiche WebLink

May. 5. 2017-10 : 25AMN0 . 5266 P. 1/1 ECTRICAL PERMIT APOLICA-I IUN CITY OF EVERETT PERMIT SERVICES OL 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 PROJECT ADDRESS; co Y BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE; SFR-L)EATACHED ❑ SFR-ATTACHED ❑ DUPLEX 12MULTI-FAMILY-#OF UNITS: 1: COMMERCIAL USE OF BUILDING; `W,`1A. ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ L NUMBER OF DEVICES if low voltage): FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: 'J ,U�J`j *( CONTACT INFORMATION OWNER NAME: TENANT/N�'AME If Commercial)- OWNER MAILING ADDRESS: STRr Er r " vG— CITY tom, I STATE 7.IP OWNER PHONE: " — — 1, _uA OWNER EMAIL: CONTRACTOR NAME: G&S HEATING CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE ciTv EVERETT STATE WA zip 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 m 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/gad and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will ba completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the pmvislons of any other state or local few fegulating construction or the performance of construction. That/am authorized by the owner of this property to perform the work for which application is made and I comply with the State ContmClors Law 18.27 PCW and 296.200 WAC, City of Everett Official Use Only PERMIT# I E �'� D`�l �� Ow r/Authorizsd Agent Signature Date (Revised 9/2312016)