2015 113TH 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 � (E)everetteps@everettwa.gov( www.everettwa.gov/permits PROJECT SITE INFO�MATION. PRo�ecT aooRess: 2015 113th PI SE, Everett 98208� �� BUILDING AREA(if residential, new construction, remodel,or addition) 1576 SF BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: ReSIC�elltla� ` ELECT CAL APPLICATION INFORMATION` CONTRACT PRICE OF WORK: $ 600 NUMBER OF DEVICES if low v Ita e : � FIRE ALARM? ❑YES 0 N ASSOCIATED BUILDING PERM # if licable : M1706-038 ~ DESCRIPTION OF WORK: Ad circuit for retrofit ductless heat pump install CONTACT INFORMATION OWNER NAME:BI"UC@ TSCI11CI21' TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srReer 2O��J ��3tll PI SE �,TM Everett STATE �NA Z�P 98208 OWNER PHONE: '425-766-$64� OWNER EMAIL: CONTRACTOR NAME: BOb's Heating & Air Conditioning CONTRACTOR ADDRESS: srReeT�4�4'$ N E �9�th Street CITY Woodinville STATE WA ZIP 9�072 CONTRACTOR PHONE:$OO-H4O-3346 CONTRACTOR EMAIL: eCI18U@I�ObSh@atlllg.00111 coNTRacroR�ic.#�REQuiREo�: BOBSHHA850NJ CITY OF EVERETT BUSINESS LIC.#(REQUIRE . 54967 PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4.2rj-766-$64Q BPUCe TSCIIICIer CONTACT EMAIL: AGREEMENT.•I 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 proper(y 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# �� ► z � �- Eti�Cp �- �6� OwnerlA zed gent ' n e Date (Revised 9/232016)