5713 BEVERLY LN 2017-10-03 - Laserfiche WebLink

To: E Page 1 of 4 2016-04-12 06:03:32 (GMT) 18884000383 From: Deborah Shields RECTRICAL PERMIT AI3 ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 FAX 425-257-8857 (E) everetteps@Deverettwa.gov www.everettwa.gov/perrnits RR ?JEG SITEto1� PRMTI�W;', PROJECT ADDRESS:5713 BEVERLY LN BUILDING AREA(if residential, neva construction, refnodel,or addition) SF BUILDING TYPE SFR-DETACHED 'FR-ATTACHED I UPLEX MULTI-FAMILY-#OF UNITS COMMERCIAL [USE OF BUILDING: E�ECT�r �L: .]cwarrl'E114FaRnn, rIOt ' CONTRACT PRICE OF WORK: $900 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES = ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: CIRCUIT FOR ELEC TO GAS FURNACE REPLACEMENT CQNTf�►GT IINFCgRIV1ATIQIN OWNER NAME: HENRY PO TENANT NAME(if Commercial): OWNER MAILING ADDRESS: sTaOC,1,5713 BEVERLY LN EVERETT WA ;F 98203 OWNER PHONE:206-779-7785 OWNER EMAIL: CONTRACTOR NAME:Washington Energy Services CONTRACTOR ADDRESS: IT11IT3909 196th St SW Lynnwood 'vyA 98036 STATC ,ZIP CONTRACTOR PHONE:800-398-4663 caNTRACTOR EMAIL:JENNIFER c@f7NNVPERMIT.COM CONTRACTOR LIC.#(REQUIRFD):WASH IES854NG exp 09/07/17 CITY OF EVERETT BUSINESS LIC.#(REQUIRED)054773 PRIMARY CONTACT: ❑OWNER I]CONTRACTOR & THER(Please Specify) JENNIFER COVEL Ot AGENT N101 PERMIT CONTACT NAME: CONTACT PHONE:2(76-774-9499 _ -- JENNIFER UVELLC� CONTACT EMAIL:JENNIFER@NWPERMIT.COM AGREFM<NT;T hereby carfify that I havo read-arid esannined this applicatiot'i arra know the eankd to be true and correct M provisions of laws and ordwanves gove ming this tyre of work will be ctxripleted wh,eiher specified herein or riot. The granting of a permit does prof pr e,surrie to give ar.rihonty lr vioisto or raraol tho pr avisirws of any other state or t cal taw rr gulatiny constn�ciion or the pe foman<x of eorrst trclfon. Mal I ern aut:orimi by the owner of this property fu purforrrr the:work for which appltcatron is mado and i compry with the State Contactors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE VD I , � Y Uigitally signcwl by Jornifir Covelio PERMIT# { DN cn Jrnr^.iter Covello,o o i 04/11 /2016a-US "-�,!,,� t .emaail.ienniter(arrw,artn�t�wn. Date.2016(N_11 23.111:)8 07'6O' s I M Owner/Authorized Agent Signature Dale /Revised 1011212015)