2624 ROCKEFELLER AVE 2017-10-25 - Laserfiche WebLink

09/15/2017 15:08 FAX 425 377 16 REX ELECTRIC 0 10001 ELECTRICAL PERPOHT AP12LICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 j FAX 425-257-8857 1 (E) everetteps@everettwa-gov j vwwv.everettwa.gov/permits PIR10JECT SIT— PROJECT ADDRESS: ';tFS BUILDING AREA(if residential, new construction, remodel,or addition) -SF COMMERCIAL BUILDING TYPE: 0 SFRpQETACHED El SFR-ATTACHED El DUPLEX 0 MULTI-FAMILY-#OF UNITS:_ I 7-F F'-, USE OF BUILDING: a 7 ce� ELECTRICAL APPLECAT90NIN 994FORMAT10N sm —7 CONTRACT PRICE OF WORK: $ - NUMBER NUMBER OF DEVICES if tow voltage): U B OFE L FIRE ALARIVII? 0 YES P70 ASSOCIATED BUILDING PERMIT# if appficable : DESCRIPTION OF WORK: a oi0�37ACT INFORMAT50N, OWN j-ZtrZNT N6ME(if Commercial): ER NAME: 0 OWNER MAILING ADDRESS: STREET STATE zi P CITY OWNER PHONE: 110 5C-f), 6OWNER EMAIL: NAME- Rex Electric Seniir-a Int- CONTRACTOR ADDRESS: 11112 18th ST IdE Lake Stevens WA 98258 'TATE zfp CONTRACTOR PHONE:425-422:1744 ACTOR EMAIL: rriecksftrnafl.corn ,CONTRACTOR LIC.#(REXELES962N4 ICITY OF EVERETT 13U PRIMARY CONTACT: q, OWNER EICONTRACTOR 0 OTHER(Please Specify)_ CONTACT NAME:Robin Riecks CONTACT PHONE:425-422-1744 CONTACT EMAIL:rriecksggmail.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 typo 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 aumofizedby 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 [1--E PERMIT# 09 - C 2-2-- (Revised 1011212015) owner/Authorlzed Agent ignatu D4.