3005 VICTOR PL 2018-05-11 - Laserfiche WebLink

I 477 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3005 Victor Place, Everett WA 98201 BUILDING AREA(if residential, new construction, remodel,or addition)997 SF BUILDING TYPE: El SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Residential ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 4,000 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): CW1707-003 DESCRIPTION OF WORK: Upgrade equipment with new fixtures as well as reloacting some fixtures. CONTACT INFORMATION OWNER NAME:Mark Gallagher TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1429 Avenue D, PMB #204 Snohomish STATE WA ZIP 98290 OWNER PHONE: 206-510-9071 OWNER EMAIL:mgallagher15@hotmail.com CONTRACTOR NAME: Mark Gallagher(Owner) CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: 206-510-9071 CONTRACTOR EMAIL: mgallagher15@hotmail.com CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: fa OWNER 0 CONTRACTOR El OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-510-9071 Mark Gallagher CONTACT EMAIL:mgallagher15@hotmail.com AGREEMENT:I hereby certify that I have read and examined this application and know the same to 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 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 perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WA C. City of Everett Official Use Only PERMIT# \---,-**\ t '30 n E nog -00-k Owner/Authorized Agent Signature Date (Revised 9/23/2016)