3213 20TH ST 2017-10-25 - Laserfiche WebLink

Jul, 31. 2017.12 . 42PM No, 5636 P. 1 10ECTRICAL PERMIT AP&ICATION CITY OF EVERETT PERMIT SERVICES 0!;L 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: -j \b 2 SA— BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX Cl MULTI-FAMILY-#OF UNITS; ❑ COMMERCIAL USE OF BUILDING: �js-�,\ E TRI L APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES if low volta e FIRE ALARM? ❑YES ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK; CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commerclal): OWNER MAILING ADDRESS: STREET A / ^ CITY /v STATE\IJA Z1Z10 i OWNER PHONE:IALA �4QA— V61V OWNER EMAIL: CONTRACTOR NAME: G&S HEATING CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE orTv EVERETT STATE WA ZIP 98 CONTRACTOR PHONE: 425-252-4402 CONTRACTOR EMAIL: DAWN@GSHEATING.COM CONTRACTOR LIC.#(REQUIRED): GSHTGSH930RK CITY OF EVERETT BUSINESS LIC.#(REQUIRED . 9865 PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-252-4402 DAWN WEIMER CONTACT EMAiL: DAWN @GE HEATING.COM AGREEMENT:I hereby certify that t have read and examined this application and know the some to be'true and correct. All provisions of laws end omflnonces governing this type of work will be completed whe0mr 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 perfomranea of constnvction. That I am authorized by the owner of tnis property to perform the work for wh/ch application is made and I comply with the State Contractors Law 18,27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# I E I'�og-a6 Owner/Authorize4Aqent Signature Date (Revised 9)23/2016)