6930 LOWER RIDGE RD 2018-01-22 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810-1 FAX 425-257-8857 i (E) everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:--- oW@r Ridge RD BUILDING AREA(if residential,DAIvy construction, remodel, or addition) SF BUILDING TYPE: ❑SFR-DETACHE ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: DWejn — ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 3000 NUMBER OF DEVICES (if low voltage): 0 FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: Panel Change and New Meter r CONTACT IN'�,ORMATION OWNER NAME:Marc TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: \C/ CONTRACTOR ADDRESS: sTREET7711 274th St nw Stanwood STATE WA ZIP 9829,E CONTRACTOR PHONE: CONTRACTOR EMAIL: ChrIS@Secure-electrlc.Com CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED: PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 2066411536 Chris CONTACT EMAIL:ChrIS@Secure-electrlc.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 I 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 8.27 RC and 296.200 AC. City of Everett Official Use Only PERMIT# Ow rlAut zed Agen ignature ate 7 (Revised 9/23/2016)