1922 112TH PL SE 2018-04-25 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 j (E) everetteps@everetfinra.gov � www.everettwa.gov/permits � .: � " PROJECt SITE INFORMA"fI�DN ; ' ' z� ,. . PROJECT ADDRESS: �922 ��Ztll PI SE, Everett WA 98208 BUILDING AREA(if residential,new construction, remodel,or addition) 1600 SF BUILDING TYPE: ❑SFR-DETACHED �SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL use oF sui��iN�: Residelltial ELECTRICAL,APPLICATION 1NFORMATION . CONTRACT PRICE OF WORK: $ 6OO NUMBER OF DEVICES if low volta e : FIRE ALARM? �YES 0 NO ASSOCIATED BUILDING PERMIT# if a licable): DESCRIPTION OF WORK: Add CII'CUIt fOC P@tl'Oflt h@at pUPTIp 111Stall CONTACT INFORMATION " , ' OWNER NAME:Mal'k YaSUtBke TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTReer 1922 112th PI SE �,n Everett STATE �NA Z�P 98208 OWNER PHONE: �808�392-3724' OWNER EMAIL: CONTRACTOR NAME: BOI�'s Heating & Air Conditioning CONTRACTOR ADDRESS: sTReer 14148 N E 190th St �,TM Woodinville STATE WA Z,P 98072 CONTRACTOR PHONE:$OO-H4O-3346 CONTRACTOR EMAIL: eCI1aU p�I�ObSII@atltlg.COP1'1 CONTRACTOR LIC.#(REQUIRED): BOBSHHAH�JON� CITY OF EVERETT BUSINESS LIC.#(REQUIRED):054967 PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT.•I hereby certify that 1 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 6e completed whether spec�ed 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 properly to pertorm 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# � �� - E �� - bla Owner/ orized Agen ' ature Date (Revised 9/232016)