2511 VIRGINIA AVE 2018-06-27 - Laserfiche WebLink

RE CTRICAL PERMIT APRICATION 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 I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2'551 1 Virginia Ave BUILDING AREA(if residential,new construction,remodel,or addition)/ /t1Q SF BUILDING TYPE: 0 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:$ 250 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): C1607-008 DESCRIPTION OF WORK: Re-locate 2 switches and 5 receptacles and upgrade several breakers to CAFCI or CAFCI I GFCI for the wiring on the 2nd floor. CONTACT INFORMATION OWNER NAME:Luke & Joanna Domermuth TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2511 Virginia Ave CITY Everett STATE WA ZIP 98201 OWNER PHONE: 919-801-7244 OWNER EMAIL:LukeDomermuth@gmail.com CONTRACTOR NAME: Owner CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: 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. City of Everett Official Use Only PERMIT# 14,U19V2- — /8---( 641'404 3//// 7 E �� 03 �- als Owner/Authorized Agent Signature e (Revised 923/2016)