1511 MAPLE ST 2017-11-17 - Laserfiche WebLink

• • OLT ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 i FAX 425-257-8857 (E)everetteps r@everettwa.gov i www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1511 Maple St BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: IGS SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: Residence ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 300.00 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES ®NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Install outlet for sump pump in crawlspace CONTACT INFORMATION OWNER NAME:Nguyen VO TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1511 Maple St city Everett STATE WA ZIP 98201 OWNER PHONE: 425-268-5280 OWNER EMAIL: CONTRACTOR NAME: CISCO Electric, Inc CONTRACTOR ADDRESS: sTREET22612 92nd Ave W C,TY Edmonds STATE WA sin 98020 CONTRACTOR PHONE: 360-618-3038 CONTRACTOR EMAIL: maria@ciscoeleCtric.cOm CONTRACTOR LIC.#(REQUIRED): CISCOEI914DE CITY OF EVERETT BUSINESS LIC.#(REQUIRED):042432 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360-618-3038 Maria Nicodemus/Cisco CONTACT EMAIL:maria@ciscoelectric.com AGREEMENT:t hereby certify that t 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 t 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 206.200 WA C. City of Everett Official Use Only PERMIT# />I/ E /rS Owner/Authorized Agent Signature Date (Revised 9/23/2016)