8617 4TH PL SE 2017-09-25 - Laserfiche WebLink

Aug, 22, 2017 9 : 03AM No, 5726 P. 1 f.ECTRICAL PERMIT AWICA-I ION 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 1 www.everettwa_goWpermits PROJECT SITE INFORMATION PROJECT ADDRESS: S( ' BUILDING AREA(if r idential, new construction, remodel, or addltlon) SF I3UILDING TYPE: SFR-DETACHED ❑ SFR ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES if low voltage): FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: CONTACT INFORMATION OWNER NAME: A6 A / TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 11 CITY A STATE 1 ZIP OWNER PHONE: 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 L,IC.#(REQUIRED): 019865 PRIMARY CONTACT: ❑ OWNER ®CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-252-4402 DAWN WEIMER CONTACT EMAIL: DAWN @GSHEATING.COM AGREEMENT[hereby Certify Chet 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ondlnancas goveming 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 orthe 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 and 296.200 WAC. City of Everett official Use Only PERMIT# Owne uthorized artt S19rta Date (Ravised 9/23/2016)