Laserfiche WebLink
� � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits <br /> PRUJEGT,SITE INFORMATiON <br /> PROJECT ADDRESS:132 E Beech St <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑✓SFR-DETACHED ❑ SFR-ATTACHED 0 DUPLEX ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> USE OF BUILDING: � <br /> EL CTRICAL APPLICATION INFORMATiON <br /> CONTRACT PRICE OF RK: $630 <br /> NUMBER OF DEVICES if I w volta e : <br /> FIRE ALARM? ❑YE NO <br /> ASSOCIATED BUILDING PE if a licable : <br /> DESCRIPTION OF WORK: <br /> CCINTACT INFORMATlON <br /> OWNER NAME: �OSIIUa St2aCllllafl TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: srReer 132 E Beech St <br /> ��,-,, Everett STATE WA Z,P 98203 <br /> OWNER PHONE:425-404-2055 OWNER EMAIL: <br /> CONTRACTOR NAME:WaShlllgtOtl Efl2fgy S2r1/IC@S <br /> CONTRACTOR ADDRESS: sTREeT 3909 196th St SW <br /> �,n Lynnwood STATE WA Z�P 9 6 <br /> CONTRACTOR PHONE:206-378-6648 CONTRACTOR EMAIL:vstephenson@washingtonenergy.Co <br /> CONTRACTOR LIC.#�REQuiRE�):WASHIES854NG CITY OF EVERETT BUSINESS LIC.#(REQUIRE �: 054773 <br /> PRIMARY CONTACT: ❑OWNER ✓OCONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-378-6648 <br /> Vanessa Stephenson CONTACTEMAIL:vstephenson@washingtonenergy.com <br /> AGREEMENT:T hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this <br /> 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 <br /> local law regulating construction or the performance of construction. That 1 am authorized 6y the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> � � <br /> PERMIT# <br /> Vanessa StephensOn °""'�"="""°w"'"",s•s�"°""°,�" ivi3/17 ` �� `� ` �O� <br /> oaea mnii i3os�.az�+sne�oo� <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />