815 ALPINE DR 2017-10-03 - Laserfiche WebLink

Jul 26 17, 12:03p Shoreline Electric, 4771-4975 p.2 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES OL 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa,gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 815 Alpine Drive Everett Wa 98203 BUILDING AREA(if residential, new construction,remodel,or addition)200 SF BUILDING TYPE: ❑SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: Dwelling Unit ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 1200 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES ONO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: Add cans E-: CONTACT INFORMATION OWNER NAME: Rick Wear TENANT NAME(if Commercial): OWNER MAILING ADDRESS: STREET 815 Alpine Drive ,,,T., Everettz, 98203 STA,E Wa OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Shoreline Electric Inc CONTRACTOR ADDRESS: sT1111 PO BOX 1151 cin Edmonds sTATr WA Z,F, 98020 CONTRACTOR PHONE: 206 818 9241 CONTRACTOR EMAIL: Shoreline ElectriC@COmcast.net CONTRACTOR LIC.#(REQUIRED): SHOREI953ME ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): LA PRIMARY CONTACT: ❑ OWNER ® CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206 818 9241 Chris Boydston CONTACT EMAIL:shoreline_electric@comcast.net AGREEMENT,/hereby certify that l 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 specie ed 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# E 1-701- 110 Owner/Authorized Agent Signature Date (Revised 9/23/2016)