|
ELECTRICAL PERMIT APPLICATION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT, WA 98201
<br /> (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits
<br /> rAZTItiMiliiiiMMTA -,:thit,,,,SF—' ---41770:1;,,:,,Iii!:7:ItlY,,,,,tiOW1,11p,,,,„„„,1,,,;;,,,,,,,„,,a-li-iairif•,,„,„,,,, ,:,!:::itts',2,,,,iik,
<br /> t. v,n t T ADDRESS: 4939 Ocean Ave
<br /> !BUILDING AREA(if residential, new construction, remodel,or addition)Addition 150 SF
<br /> BUILDING TYPE: m SFR-DETACHED ❑SFR-ATTACHED 0 D LEX 0 + LTI-FAMILY-#OF UNITS: ❑COMMERCIAL
<br /> USE OF BUILDING: Storage
<br /> CONTRACT PRICE OF WORK: • 2,000
<br /> NUMBER OF DEVICES(if low viltage):
<br /> FIRE ALARM? El YES ®NO
<br /> ASSOCIATED BUILDING PERMIT#(if applicable):
<br /> DESCRIPTION OF WORK: Using (2) existing 20 amp 120 volt circuits to install lights and receptecles in storage.
<br /> install PVC conduit from existing sub panel to storage.
<br /> 4,f.. y
<br /> ., � �� ���/- i H '''� ,, c Kt� /fid
<br /> .? .. �„a,��ga�, �� .� ;°'�.a,�, �„,,.:..� �.... . .- 6_ tib; .,. _...a ,.,...� ^'�� ,S ,... ,.A,. ...a,,,,,e
<br /> OWNER NAME: Carl Jonasson TENANT NAME(If Commercial):
<br /> 'OWNER MAILING ADDRESS: STREET 4939 Ocean Ave
<br /> c,n Everett STATE WA BP 98203
<br /> OWNER PHONE: 206-963-1718 OWNER EMAIL:
<br /> CONTRACTOR NAME: R&D Electric Enterprises
<br /> CONTRACTOR ADDRESS: STREET 18214 76th Ave W
<br /> CITY Edmonds STATE WA ZIP 98026
<br /> CONTRACTOR PHONE: 425-478-7701 CONTRACTOR EMAIL: rndelectric@comcast.net
<br /> CONTRACTOR LIC.#(REQUIRED): RDELEE1 OO9D9 CITY OF EVERETT BUSINESS LIC.#(REQUIR : 054818
<br /> .,__...,... .. �� .. ..
<br /> 'PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME: CONTACT PHONE: 206-963-1718
<br /> Carl Jonasson CONTACT EMAIL: rndelectric@comcast.net
<br /> AGREEMENT.'I hereby certify that I have read and examined this application and know the same to be true and correct. Al!provisions of laws and ordinances governing this type
<br /> 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
<br /> local law regulating 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 1
<br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC.
<br /> City of Everett Official Use Only
<br /> PERMIT#
<br /> inane van Loveren 08/26/17 E -CI - i2 (. .
<br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016)
<br />
|