1702 ORCA VIEW LN 2018-01-04 - Laserfiche WebLink

� � ELECTRICAL PERMIT APPLICATION CITY QF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERE7T,WA 98201 (P) 425-257-8810 J FAX 425-257-8857 � (E} everetteps@everettwa.gov � www.everettwa.gov/permits <PROJECT SITE'INFORMATION _ PFtOJECTADDRESS: �� y BUILDING AREA(if residentiaf, new construction, remodel, or addition) SF BUILDING TYPE; SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNI7S: ❑ COMMERCIAL U5E OF BUfLDiNG: �� ELECTRICAL APPLICATION IN�'ORMATION CONTRACT PRICE OF WORK: $ ' � 'Q ,o NUMBER OF DEVICES (if fow volta e : FIRE ALARM? ❑YES O ASSOCIATED BUILDING PERMIT# if a licable : DESCRIPTION OF WORK: �-- �� `'�� t��( �. ,a�� ?�E�, A- - CONTACT 1NFORMATMON OWNER NAME: ,p� .Q��i� TENANT NAME [f Commercial): QWNER MAILING ADDRESS: srRE �,�' �, �� ,,,�� CITV STATE ��/� ZIP �� OWNER PHONE: c-tL"� OWNER EMAIL: CONTRACTOR NAME: G&S HEATING coHr�croR A�aaRess: STREET 3409 EVERETT AVE c,r, EVERETT STATE WA z,P 982d1 CONTRACTOR PHONE: 425-252-4402 CONTRACTOR EMAIL: DAWN@GSHEATING.COM CONTRACTOR LIC.#(REQUIRED): GSHTGSHg3ORK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 019865 PRIMARY COIVTACT; ❑ OWNER � CONTRACTOR ❑OTHER(Please Specify} CONTACT NAME: CONTACT PHONE: 425-252-44OZ DAWN WEIMER coNT,acTeMat�: DAWN@GSHEATING.COM AGREEMENT.!hereby certify fhat/have read and examrned this application and know the same to be true and carrect. AlI provisions of laws and ordinances goveming this rype of work will be completed whetherspecifred herein ornot. The granting of a permit does not presume to give authorify fo violate or cance!the prQvisions of any ofher state or loca!!aw regu/ating construction or the perforrnance of construction. 7hat I am auYhorized by 1he owner of this properfy to perform the work for which application is made and! comply with the Stafe Confractors Law 18.27 RCW and 296.200 WAC. Ciry of Everett O�cia/Use Only PERMIT# �� iz�E �� E 1�1 � --��10 OwnerlAuthorized Agent Signature Date (Revised 9P23/2016) _ _ __ _ _ _ . . _ ___