5729 BROADWAY 2018-06-07 - Laserfiche WebLink

ELECTRICAL PERMITA3PLICATION _ CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov l www.everettwa.gov/permits PROJECT SITE INFORMAtION . PROJECT ADDRESS: 5729 Broadway Everett WA 98203 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: la SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Residential ELECTRICAL APPLICATION INFORMATION;' CONTRACT PRICE OF WORK: $ 1000 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 50amp car charger 'CONTACT INFORMATION OWNER NAME:Breanna Nyeazi TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 5729 Broadway cn, EverettZ,P 98203 STATE WA OWNER PHONE: 425-219-2572 OWNER EMAIL:brenyeazi@hotmail.com CONTRACTOR NAME: SeaTown Electric Heating and Air CONTRACTOR ADDRESS: STREET PO Box 75538 cny Seattle STATE WA ZIP 98125 CONTRACTOR PHONE: 206-905-3690 CONTRACTOR EMAIL: makayla@seatownelectric.com CONTRACTOR LIC.#(REQUIRED): SEATOEC86ORB CITY OF EVERETT BUSINESS LIC.#(REQUIRED):53916 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-905-3690 Makayla Roe CONTACT EMAIL:Makayla@seatownelectric.com 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 property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. ill PRP �, City of Everett Official Use Only ,thW PERMIT# "�►�i�� II &"3201� E ( Z05-- a- Owner/•uthorized rent Sign. tire 0ate (Revised 9/23/2016)