11519 2ND AVE SE 2018-01-16 - Laserfiche WebLink

� � ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE INFORMATION PRo�ECT AooRess: 11519 2nd ave se everett wa 98208 BUILDING AREA(if residential,new construction,remodel,or addition)6�� SF BUILDING TYPE: ❑SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: ItS a S�'1@C� ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ SOOO.00 NUMBER OF DEVICES(if low volta e : FIRE ALARM? ❑YES a NO ASSOCIATED BUILDING PERMIT# if a licabie : DESCRIPTION OF WORK: Wiring for�ighting, 120v 20a receptacles to meet minimum code requirements.and a 30a 240v receptacle for welder. I will install a 100amp sub panel in here. CONTACT INFORMATION OWNER NAME:K2VI11 CI'aft TENANT NAME If Commercial): OWNER MAILING ADDRESS: srReer 11519 2nd ave se �,n everett sr,are Wa ziP 9820$ owNeR PHONe: 425.791.0514 OWNER EMAIL: coNrw4cTOR Nanne: Scottco Electric inc CONTRACTOR ADDRESS: s�Eer 826 ne 123rd st �,n Seattle STATE wa Z,P 98125 CONTRACTOR PHONE: 2O6.ZZ9.�39H CONTRACTOR EMAIL: f effaSCllatZ'I C�1 9111a1I.C0111 CONTRACTOR LIC.#(REQUIRED): SCOtt@193Odc'] CITY OF EVERETT BUSINESS LIC.#(REQUIRED):055599 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206.229.'I 39H Jeff Schatz coNrACT enna�:jeffaschatz1 @gmail.com AGREEMENT:!hereby certify that I have read and examined this applicafion and know the same to be true and correct. All provisions of laws and ordinances goveming this type of work will be completed whether speci�ed herein or not. The granting of a pemrit 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 I am authorized by the owner of this property to perfortn the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. �\ City of Everett Offcial Use Only PERMIT# � � z l v E I o�-� I � Owner/Authorized Agent Signature Date (Revised 9/23/2016)