1932 MELVIN AVE 2017-09-20 - Laserfiche WebLink

VECTRICAL PERMIT AICATION 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 PROJECT ADDRESS: 932 meivin Ave. Everett WA 98L, BUILDING AREA(if residential, new construction, remodel, or addition) Additic: SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: Family home ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ Unknown NUMBER OF DEVICES if low voltage): 9-10 outlets/fixtures FIRE ALARM? ❑YES ® NO ASSOCIATED BUILDING PERMIT# if applicable): C1508-004 DESCRIPTION OF WORK: Additiui I allows for enlarged bathroom, walk-in closet, and a covered deck outside CONTACT INFORMATION OWNER NAME: '7ric Gray TENANT NAME(if Commercial): N/A OWNER MAILING ADDRESS: STREET 1982 i Ave C,n Everett STATE WA Zip 98203 OWNER PHONE: 425-530-6533 1OWNER EMAIL: fleldingg� CONTRACTOR NAME: e,-- CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ©OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT:T hereby certify that I have read 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 be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction 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/ comply with the State Contractors taw 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE 4 PERMIT# Owner/Authorized Agent Signature Date (Revised 10/12/2015)