8813 EMERSON PL 2018-05-01 - Laserfiche WebLink

ELECTRICAL PERMIT APP�ATION 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 PRQJECT S1TE INFQRMATION PRo�ecT,woREss: 8813 Emerson Place, BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: residence `ELECTRICAL APPLICATION INFORMATfON' CONTRACT PRICE OF WORK:$ 400 NUMBER OF DEVICES if low volta e : FIRE ALARM? ❑YES ❑NO ASSOCIATED BUILDING PERMIT# if a plicable : nescRiPTioN oF woRK: Add 60 amp sub panel in garage and 50amp power for electric vehicle CONTACT lNFORMATION OWNER NAME:ZaCh CCUtl1 TENANT NAME(If Commercial : OWNER MAILING ADDRESS: S,�EET$$13 Emerson Place �,TM Everett STA,�WA vP 98208 OWNER PHONE: 425.610.9571 OWNER EMAIL:crum.zach@gmail.COtll CONTRACTOR NAME: �,(J � CONTRACTOR ADDRESS: s�EEr C1TY STATE Z1P CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4.2rj.6�0.9571 ZaCII CrUlll CONTACT EMAIL:Ct'Utll.zach@gmail.com AGREEMENT:I hereby certity that I have read and examined this application and know the same to be true and co�rect. A/f provisions of laws and ordinances goveming fhis type of work wil!be completed whether specified herein or not. The grarning of a pennif does»ot presume to give authority to violate or cancel the provisions of any other state or local law regulating constiuction or the performance of construction. That I am authorized by the owner of fhis property fo perfom�the worlc for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296_200 WAC. City of Everett O�cial Use Only PERMIT# ,., / 2� �� E �� -u �� Owner/Auth ized Agent Signature Date (Revised 9/23/2016)