2113 HIGHLAND AVE 2018-05-17 - Laserfiche WebLink

ELECTRICAL PERMIT APPL�CATION 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 tNF�RMATION PROJECT ADDRESS: 2� �3 HI hland AVE Everett, WA 98201 BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: ❑ SFR-DETACHED 0 SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: Sf �IVICI ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 1500 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): �escRiPrioN oF woR►c: 100 amp sub panel at detached garage CONTACT INFORMATION OWNER NAME:St@V@ ChECO TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srReeT 2113 Highland AVE �,n Everett STATE �NA Z�P 98201 OWNER PHONE: 425.3H7.7367 OWNER EMAIL:n�a CONTRACTOR NAME: IIl HOUS2 EI2CtC'ICaI S@fYIC@S, �f1C. CONTRACTOR ADDRESS: srReeT 1530 117th DR SE �,n Lake Stevens ST,,TE WA Z,P 98258 CONTRACTOR PHONE: 4ZrJ.76O.3ZO3 CONTRACTOR EMAIL: IFl@p@fCTIItS C�! gCT181I.COtII CONTRACTOR LIC.#(REC2UIRED): ItlhOUeS95Zqg CITY OF EVERETT BUSINESS LIC.#(REQUIRED):044�6H PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 42�j.76�.32�3 kelsey coNTAcr eMa�:ihepermits@gmail.com 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 rype of work will be comp/eted 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 constructron or the performance of constructio9. That 1 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 296.290 W�. / � i; / � � / � ��--� / i City of Everett Official Use Only �/ � � PER�� �� ! ' �� r�- E 1 I - I � � Owner/A horize gent gMatur Date (Revised 9/23/2016) � I \