2715 12TH ST 2018-04-17 - Laserfiche WebLink

gn. ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 ( FAX 425-257-8857 I (E) everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2715 12th St BUILDING AREA(if residential,new construction,remodel,or addition)2600 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS:4 0 COMMERCIAL USE OF BUILDING: appartments ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 30,000 NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: Change out lights and devices in all units, change out panels in each unit. CONTACT INFORMATION OWNER NAME:Everett housing authority TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3107 Colby avenue c„,, Everett STATE wa ZIP 98201 OWNER PHONE: 425-258-9222 OWNER EMAIL: CONTRACTOR NAME: Steele electric Inc CONTRACTOR ADDRESS: sTREET4722 Bayview Lane cn,, Everett STATE WA Z,P 98203 CONTRACTOR PHONE: 888-404-2882 CONTRACTOR EMAIL: travis@steeleec.com CONTRACTOR LIC.#(REQUIRED): STEELEI841 CS CITY OF EVERETT BUSINESS LIC.#(REQUIRED):53663 PRIMARY CONTACT: 0 OWNER la CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-876-7488 Travis Steele CONTACT EMAIL:travis@steeleec.com AGREEMENT:t 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 WAC. City of Everett Official Use Only PERMIT# o _ E P - tg ( Owner/Au ori"Agent Date (Revised 9/23/2016)