Laserfiche WebLink
ELE�TR�C�L P�RM�T AP'PLICA�T�C}�V <br /> - - CITY C3F EVEF?ETT PERNIIT SEF2VCCES <br /> 3200 CEDAR STRE�T, EVERETT,WA 9820'1 <br /> {Pj 425-257-8810 f FAX 425-257-8857 � (E} everefifeps@everettwa.gov J wwvv.everettwa.gavlpermifs <br /> Pf�tI.9EGT SiTE IN�FLiRfVIAT10N <br /> PRQJ�CT AqDRESS• 1so� 75th Street S.E., Everett, WA 98203 <br /> BUILDING AREA(if residential, new construcfion,remodel,or addifian) lloo gF - <br /> BUIL.DING TYPE; �SFR-DETACHED ❑SFR-ATfACHED ❑DIJPLEX ❑ MUL.TI-FAMILY-#OF UNITS: ❑COfv1MERCiAL <br /> USE OF BUILDING: Single-Family Home <br /> _ . _ <br /> EI.ECTRtCAL AF"P4lGATtON �hlFQRMATION <br /> CONTRACT PRICE OF UYORK:$4,o00.oo . <br /> NUMBER OF DEVICES if low volta e : <br /> �1RE ALARM? ❑YES �I N� _ _ _ <br /> ASSOCIATED BUILDlNG PERMiT# if a licable:N/A <br /> DESCRIPTION OF WQRK: Changing existing 125 Amp Servicz to 200 Amp, adding 5 can lights, 1 new 20 Amp GFCI <br /> ircuit over the kitchen counter, replacing the kitchen GFCI and adding 260 & 230 circuits to new electric furnac' <br /> . _ .. <br /> �.��,� .����������� <br /> OWNER It}AME: Gus mansour TENANT NAME !f Commerciat}; columbia Distribution <br /> QWNERMAfLlNGAQDRESS: srrtcev 19221 36th Ave. W., suite #106 <br /> CITY Lynnwood STATE w� 7�p 98036 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTF�1�iGTC1R:NAME: Protection & Communications, Inc. {Pro-Comm) <br /> CONTRACTORADDRESS'. srRe,z 19630 40th Ave. W.• <br /> ��Y Lynnwood 57ATE W�1 Zip 98036 <br /> CON7RACTORPHONE: 425-��4-9099 CONTRACTOREMAIL: lylewcn�pro-comm-online.com � <br /> CONTE�AGTt1R LIC,�`{J�Et,�IJiR�J}. PROTECI165L8 CITY OF EVERETT BU5INESS LIC.#(REQUIRF_D}; 026474 <br /> ..,...�, . _ _,.� ._ _ �..._....�� ,_ .. . _ .�w. ... _ _...�._ __ ._ <br /> PRIMARY GONTACT: �OWNER �GQNTRACTOR �OTHER{P(ease Specify) <br /> CONTACT NAME: Pro-Comm CQNTACT PHONE: 425-774-9099 ' <br /> ° COPlTACT EMA(L: lylewspro-comm-online.com <br /> AGREENEN7:T hereby certity#ha#i have read and examined fhis appliCatian and knaw fhe same to be true and correcf. Ati provislons of(aws antl ordinancas govemi�ig fhis <br /> t'ype of svor'x wil!be compiefed v�Fe±her specfn"ed herern or nof. T,9e granting of a permif daes not presu.ma to grve auh5orify to v'olafe ar cancet the provisions of any other stafe or <br /> tocal taw regulaxing consiraciian or the gerfarmance of cansfrucfion. That I am authoiized by fhe owner of this properry to parform fha urork for which application is made and 1 <br /> r,amply[vifh fhe S€are Cantractars Law i8.27 RCW and 298.20(1 WAC. <br /> Ci�of Evereft OfFcial Use Onfy <br /> FEE .�,.....�. <br /> , � .�� <br /> - ,� E �� O�- I �� <br /> _` _ <br /> nerlAuthorized Age t Signature Uate (Revised i0Ji2/2015) <br />