6429 BROADWAY 2017-10-03 - Laserfiche WebLink

E ECTRICAL PERMIT APACATION 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 Sl" ',IMh 'iaN PROJECT ADDRESS: 6429 Broadway BUILDING AREA(if residential, new construction, remodel, or addition)1200 SF BUILDING TYPE: ❑ SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: home �- .KATION INFORM N CONTRACT PRICE OF WORKI($ 2800 NUMBER OF DEVICES if low olta e : 0 FIRE ALARM? ❑YES ® NO ASSOCIATED BUILDING PERMIT--# if applicable): DESCRIPTION OF WORK: Service change „ . sCt�NTA MATION . OWNER NAME:Jesse BerrlaUlt TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 6429 Broadway ,,T,, Everett STATE WA 7.R 98203 OWNER PHONE: 3602243689 OWNER EMAIL:festerl068@hotmall.com CONTRACTOR NAME: Pro.Com Home Services CONTRACTOR ADDRESS: ST1EET2033 6th Ave c,n Seattle STATE Wa ... 981 2._'l__ CONTRACTOR PHONE: 206.771.3696 CONTRACTOR EMAIL: Zachw@pro.Com CONTRACTOR LIC.#(REQUIRED): PROCOSL844PP CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 56431 PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360.224.3689 Jesse CONTACT EMAIL:jester1068@hotmall.com AGREEMENT./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# Zac Welch 2/22/17 E i�--o2 Owner/Authorized Agent Signature Date (Revised 9/23/2016)