2715 12TH ST 2017-09-25 - Laserfiche WebLink

0 0 ELECTRICAL PERMIT APPLICATION 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 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 27 1J' 12th Street BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 800 NUMBER OF DEVICES if low voltage): FIRE ALARM? ❑YES ONO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Install panel for construction Power for one year CONTACT INFORMATION OWNER NAME:Everett housing aUthorlty TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE 21p OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Steele Electric Inc. CONTRACTOR ADDRESS: IT11IT4722 bayview In ,Ty Everett STATE WA Z,p 98203 CONTRACTOR PHONE: 4255-876-7488 CONTRACTOR EMAIL: travis@Steeleec.com CONTRACTOR LIC.#(REQUIRED): STEELEI841 CS CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4255-876-7488 Travis Steele CONTACT EMAIL:traviS@Steeleec.com AGREEMENT:I hereby certify that/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/am authorized by the owner of this property to perform the work for which application is made and/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# /9' / E U�og (0:w!n:er1;Au1riz.,d1nature Date (Revised 9/23/2016)