2719 12TH ST 2018-04-17 - Laserfiche WebLink

• LECTRICAL 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 PROJECT ADDRESS: 27�9 �2tll St BUILDING AREA(if residential,new construction,remodel,or addition)2600 SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS:4 ❑ COMMERCIAL USE OF BUILDING: a artments ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 30,000 NUMBER OF DEVICES (if low volta e): FIRE ALARM7 ❑YES 0 NO ASSOCIATED BUILDING PERMIT# (if applicable): �EscRiPTioN oF woRK: Change out lights and devices in all units, change out panels in each unit. CONTACT INFORMATION OWNER NAME:EV@I"@tt hOUSlllg aUtllOi"Ity TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTReeT 3��7 COIby aV8tlU2 �,n Everett STA,�wa Z,P 98201 OWNER PHONE: 425-25H-9222 OWNER EMAIL: CONTRACTOR NAME: St@@Ie @I@CtPIC II1C 1 S -- � CONTRACTOR ADDRESS: sTReer4722 Bayview Lane �,N Everett STATE WA Z,P 98203 CONTRACTOR PHONE: $$$-4O4-ZgHZ CONTRACTOR EMAIL: traVlS@StEeI@@C.00111 coNrRacTOR uc.#�REQu�REo�: STEELE1841 CS CITY OF EVERETT BUSINESS LIC.#(REQUIRED):53663 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 42rj-$76-'74,$H Travis Steele cowrACT EnnA��:travis@steeleec.com AGREEMENT:I he�eby certify that I hava read and examined this application and know the same fo 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 fo 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 ihrs property to perfonn the work for which application is made and I comply with the State Contraciors Law 18.27 RCW and 296.200 WAC. City of Everett O(ficiaf Use Only PERMIT# `, � j, � E �� - �2,��'' - �wnerlA rized Agent Signature Date (Revesed 9/23/2016)