6 MADISON ST 2018-05-22 - 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.go✓/permits PROJECT SITE INfORMATION PROJECT ADDRESS: 6 MaC�ISOCI StC2@t, Everett, WA 98203 BUILDING AREA(if residential, new construction, remodel, or addition) 1,000 SF BUILDING TYPE: �SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: C. COMMERCIAL USE OF BUILDING: HOCT12 ELECTRICAL APPlICATION INFORMATION CONTRACT PRICE OF WORK: $ 1,360.00 NUMBER OF DEVICES (if low volta e): FIRE ALARM? ❑YES m NO ASSOCIATED BUILDING PERMIT#(if applicable): �ESCR�PTION oF WORK: Replace existing bath fan with new & swap kitchen fan switch CONTACT INFORMATION OWNER NAME: Ma�y Mal2f TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTReeT Same CITY STATE 21P OWNER PHONE: 425-34C-H3HS OWNER EMAIL: CONTRACTOR NAME: AffOW I�SUIatlOfl If1C CONTRACTOR ADDRESS: srReEr PO Box 1233 c,n Mount Vernon STATE WA Z,P 98273 CONTRACTOR PHONE: 206-682-9276 CONTRACTOR EMAIL: S@fVIC2 q�affOWCOtlS21'VBtIOI1.COCT1 coNTwacTOR�ic.#�REQuiRE�>: ARROWI1855M 1 CITY OF EVERETT BUSINESS LIC.#(REQUf ZED): 0524�5 PRIMARY CONTACT: ❑OWNER f,71 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-7�$-3425 Kameron Schultz coNTacT eM,ai�: kschultz@arrowconservation.com AGREEMENT.1 hereby ce�tify that I have read and examined this application and know the same to be true and correct. All provisions of laws and orc nances governing this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authoriry to violate or cancel the provisio s of any other state or local law regulating construction or the pertormance of construction. That 1 am authorized by the owner of this property to perform the work for which a plication is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. -� City of Everett 7fficial Use Only '"� PERMIT# �� /� �0 j �� ( 1 � E ��-�C� — �c�� Owner/Authorized Agent Signature Date (Revised 9/23/2016)