1602 HOYT AVE 2018-01-04 - Laserfiche WebLink

• • ELECTRICAL PERMIT APPLICATI�N CITY OF EVERETT PERMfT SERVECES 3200 CEDAR STREET, EVERETr, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 j (E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE INFORMATION `, PROJECT ADDRESS: ,/� �� BUfLDINC AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: SFR-DETACHED ❑ SFR-ATTACHED ❑ pUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL U5E OF BUILDING: '�P�1t,�, ELECTRICAL APPI.ICATION;INFORMATION CONTRACT PRICE OF WORK: $ � C , NIJMBER OF DEVIGES if fow volta e): � FIRE ALAi�M? ❑Y�S NO ASSOCfATED BUILDING PERMIT# if a licable): DESCRIPTION OF WORK: C : CONTACT INFORMATION OWNER NAME: ° TENANT NAME(If Comntercial : OWNER MAILING ADDRESS: sr�E�r C1TY STATE ZIP OWNER PHONE: -- OWNER EMAIL: CQNTRACTOR NAME: G&S HEATING CON7RACTOR ADDRESS: srRe=_r 3409 EVERETT AVE c,r, EVERETT STA7E �NA z,P 98201 CONTRACTOR PHONE: 425-252�4402 corvrRa,cTOR emai�: DAWN@GSHEATING.COM coHTRacroR�ic.#�REQuiREo�: GSHTGSH930RK CITY OF EVERETT BUSIN�SS l.[C,#(REQUIRED}: O"I9865 PRIMARY CONTACT: ❑ OWNER �Ll CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: t�.2�j_2�J2-44O2 DAWN WEIMER CONTACT EMA1L.: DAWN@GSHEATING.COM AGREcNENT:!hereby certi(y that!have read and examined this application and know fhe same to be trua and ccrrect. kl/provisicns of laws and ordinances goveming this type of work wili be comp/eted whether spec�ed herern or not. The granting of a penrit does not presume to give authority fo violate or cance!the pr�visions of any other stafe or Ioca1!aw regu/ating consfrucfion or the performance of construction. That 1 am authorized by the owner of this property to perform the work,'or which applicafion is made and! comply vr,'fh the State Contracfors Law 18.27 RCrV and 295.200 WAC. City of E'verett O�cial Use Only PERMIT# �� E l�� D -� z 3 O OwnerlAuthorized Agent Signature Date (Revised 9/2 3/201 6J _ _ _ _,