9019 9TH AVE SE 2017-09-25 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION' PROJECT ADDRESS:9019 9th Ave SE BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑✓SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING:Single Family Home i ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $1030 NUMBER OF DEVICES if low voltage ::N/A FIRE ALARM? ❑YES ❑ NO N/A ASSOCIATED BUILDING PERMIT# (if applicable):N/A DESCRIPTION OF WORK: CONTACT INFORMATION OWNER NAME: Glnny Garcia TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 9019 9th Ave SE cITY Everett STATE WA Z,P 98208 OWNER PHONE:425-327-4878 OWNER EMAIL: CONTRACTOR NAME:Washington Energy Services CONTRACTOR ADDRESS: STREET 3909 196th St SW (�f� CITY Lynnwood STATE WA ZIP 980 CONTRACTOR PHONE:206-378-6648 CONTRACTOR EMAIL:vstephenson@washingtonenergy.com CONTRACTOR LIC.#(REQUIRED):WASHIES854NG CITY OF EVERETT BUSINESS LIC.#(REQUIRED) 054773 PRIMARY CONTACT: ❑OWNER OCONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-378-6648 Vanessa Stephenson CONTACT EMAIL:vstephenson@washingtonenergy.com AGREEMENT.T hereby certify that 1 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 1 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 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE P E R M I T#1��\ oianeuy b,g d by Vanessa Staph—,, E Vanessa Stephenson D-2—0725102807.0700 07/25/17 Owner/Authorized Agent Signature Date (Revised 10/12/2015)