1600 112TH ST 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 � (E)everetteps@everettwa.gov � www.everetfinra.gov/permits ��\ ,� � :i � . . �� ,�� c�� � �' � F� �• ti. PROJECT ADDRESS: 1600 112Th ST SE BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED �SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: ReSldential � :., �� ,, . .....,`\ �� .,. :•.,,. .. .<; ; ��` � �.:�....: CONTRACT PRICE OF WORK: $ $1,200 NUMBER OF DEVICES if low volta e : FIRE ALARM? ❑YES �NO ASSOCIATED BUILDING PERMIT# if a licable : DESCRIPTION OF WORK: Electric range to gas,pigtail 12 AWG to#8 SCR and wire for 110 V for ignitor and cut in micro.exhaust hood duplex. Installed reallocated conductors on combination afi/gfci circuit breaker. Swapped out counter top devices to TR,trace out 2nd counter top circuit and installed TR GFCI as a ' ton Electri . � � s�� �/y�r.,, z ��5� � �,�� i � ..� y� '`��° �� ;��` OWNER NAME: Patrick Franson TENANT NAME(If Commercial : OWNER MAILING ADDRESS: sTReEr Same CITY STATE ZIP OWNER PHONE: 206-819-2310 OWNER EMAIL: PPfrans@frontier.com CONTRACTOR NAME: Innerspace Electric Inc CONTRACTOR ADDRESS: sTReET 15630 La1'Ch Way cin, Lynnwood STATE WA iP 98087 CONTRACTOR PHONE: 425-609-8533 CONTRACTOR EMAIL: brianh@innerspaceelectric.com CONTRACTOR�IC.#(ReQuiRE�): INNERE1931 NN CITY OF EVERETT BUSINESS LIC.#(REQU ED): PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-501-5003 Brian Hels CONTACT EMAIL: AGREEMENT.�!hereby ce�tify that 1 have read and examined this application and know the same to be true and correct All provisions of laws and ordinances goveming this type of work will be completed whether specifred herein or nof. The granting of a permit does not presume to give authorify to vio/ate or cance/the provisions of any other state or /oca/law regulafing 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 Officia/Use Only ty eigned by Brien Hels PERMIT# =US,E=brienh(�innerspeceelectric.com, I erspace Electric Inc.,OU=lnnerspace � � � O B ri a n H e I e c Inq CN=Brian Hels E ` C ' .2017.11.09 23:41:39-08'00' OwneNAuthorized Agent Signature Date (Revised 9/23/2016)