Laserfiche WebLink
�LECTRICAL PERMIT A�LICATION <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 /> � <br /> � � ,� ; . , h��P .�EG�'i��`SITE INF�R�N1� ����'� �� €:# '�� <br /> �.�,., �� .�__ ��-�.�;� n� <�;. �, ���.... ,�_.. ,..:;. ���� .��,� <br /> PROJECT ADDRESS: 6307 B@C'I'CSI11C'@ DC' <br /> BUILDING AREA(if residential, new construction, remodel,or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED � SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> USE OF BUILDING: <br /> ; ` ; ELECTRICAL APPLICATION INFORMATI,ON : <br /> CONTRACT PRICE OF WORK: $ 3,695.00 <br /> NUMBER OF DEVICES (if low volta e): <br /> FIRE ALARM? ❑YES � NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> �escRtPT�oN oF wORK: Replace existing gas furnace with new gas furnace in the same location. <br /> CONTACT INFORMATION <br /> OWNER NAME:Warretl ChOtlg TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTReeT 6307 Bel'KSllll"e Df <br /> ��n. Everett STATE WA ziP 98203 <br /> OWNER PHONE: 425-512-8843 OWNER EMAIL: <br /> coNrrtacTOR NaMe: Day and Nite Plumbing and Heating <br /> coNr►z,acTOR a��Ress: STREET 16614 13th Ave W <br /> c,-r., Lynnwood STATE WA zia 98037 <br /> CONTRACTOR PHONE: 425-775-6464 CONTRACTOR EMAIL: bryan@dayandnit@.C12t <br /> coNTt�ncTOR�ic.#�REQuiRE��: DAYNIPH944RQ CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 01974'I <br /> PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-775-6464 <br /> Bryan Radcliff coNTacT eMA��: bryan@dayandnite.net <br /> AGREEMENT.�I hereby certify that I have read and examined fhis application and know the same to be true and correct. All provisions of laws and ordinances governing this type <br /> of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cance/the provisions of any other state or <br /> local law regulating construcfion or the performance of construction. That 1 am authorized By the owner of this property to pertorm 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 /> PERMIT# <br /> E �� �2- � �� <br /> Owner Author' ed Agent Signature ate (Revised 9/23/2016) <br />