2316 BAKER AVE 2017-10-03 - Laserfiche WebLink

0 0 ELECTRICAL PERMIT APPLICATION 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:2316 Baker Ave 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. ELOCTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WO K: $397 NUMBER OF DEVICES if low Ita e): FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: CONTACT INFORMATION OWNER NAME: Cindy Stallsworth TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STEET 2316 Baker Ave CITY Everett STATE WA ZIp 98201 OWNER PHONE:425-314-7476 OWNER EMAIL: CONTRACTOR NAME:Washington Energy Services CONTRACTOR ADDRESS: STREET 3909 196th St SW CATV Lynnwood STAT_ WA z,P 980 6. CONTRACTOR PHONE:206-378-6648 CONTRACTOR EMAIL:vstephenson@washingtonenergy.co CONTRACTOR LIC.#(REQUIRED):WASH IES854NG CITY OF EVERETT BUSINESS LIC.#(REQUIRE : 054773 PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-378-6648 Vanessa Stephenson CONTACT EMAIL:vstephenson@washingtonenergy.com 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 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 5 -- PERMIT# Dl9itaily signed by V1.1—Sb,pft—" E + V •— Vanessa Stephenson 2017 08 15 0 4524 0700 08/15/17 Owner/Authorized Agent Signature Date (Revised 10/12/2015)