1611 WALNUT ST 2017-08-11 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITE'OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 [ E)everetteps@everettwa.gov I www.everettwa.gov/permits PROWCT SITE INFORMATION PROJECT ADDRESS: 1611 WALNUT BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 11 SFR-ATTACHED ❑DUPLEX 11 MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: RESIDENTIAL ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 2000.00 NUMBER OF DEVICES if low volts e : FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable DESCRIPTION OF WORK: REPLACE PANEL CONTACT INFORMATION OWNER NAME:MELISSA BRANSON TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1611 WALNUT ,,T,, ,p�EVERETT STATE u1�A ,98201 OWNER PHONE: 425-409-1819 IOWNER EMAIL:gentledeer319@3a GMAIL.COM CONTRACTOR NAME: ROBS ELECTRIC INC CONTRACTOR ADDRESS: ITREET4405 903RD AVE SE �t LAKE STEVENSsWA 7,, 98258 CONTRACTOR PHONE:425-334-6834 lCONTRACTOR EMAIL: BRANDON a@ROBSELECTRICINC.COM CONTRACTOR LIC.#(REQUIRED): ROBSEI*110DO CITY OF EVERETT BUSINESS LIC.#(REQUIRED);025145 PRIMARY CONTACT: 0 OWNER ®CONTRACTOR. 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4253434393 BRANDON CONVICT EMAIL.BRANDON ROBSELECTRICINC.COM AGREEMENT:t hereby certtty that t have miFw and examined this application and know the same to be true and correct, All provisions of taws and ordinances govemrng this type of work wilt be completed wh6ther specified herein or not. The granting of a permit does not presurno to give authority fa violate cr cancel the provisions of any othar state or loc at taw rogurlatrrrr3 construction or the performance of consuvrhon, That 1 am authorized by the Owner rt this properly to perform the worts for which application is made and t amply with the State Contractors Law 18.27 RCW and 286.23E✓VAC. City of Everett Officiai Use Only PERMIT# Owner/Authorized Agent a Date rRevised 812312016;