2815 HIGHLAND AVE 2018-09-11 - Laserfiche WebLink

Nov 0717 02:09p Bob Jack 15096746777 p.1 Ore". ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2815 HIGHLAND BUILDING AREA(if residential,new construction,remodel, or addition) 100 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 2 COMMERCIAL USE OF BUILDING: NON MANED STATION ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 1200 NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES ®NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: REPLACE EXISTING GAS PUP USING ALL PRE-EXISTING WIRING, NO NEW WIRE CONTACT INFORMATION OWNER NAME: NELSON PETROLEUM TENANT NAME(If Commercial): NELSON PETROLEUM OWNER MAILING ADDRESS: sTREE- 1 125 80TH ST SW CITY EVERETT STATE WA zF 98203 OWNER PHONE: (OWNER EMAIL: CONTRACTOR NAME: MASCOTT EQUIPMENT CONTRACTOR ADDRESS; STREET 435 NE HANCOCK cirr PORTLAND STATE OR ZIP 97212 'CONTRACTOR PHONE: 509-607-3596 (CONTRACTOR EMAIL: BJACK@MASCOTTEC.COM CONTRACTOR LIC.#(REQUIRED): MASCOEC957C8 (CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 048954 PRIMARY CONTACT: 0 OWNER VI CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 509-607-3596 BOB JACK CONTACT EMAILBJACK@MASCOTTEC.COM AGREEMENT.t hereby certify that I have read and examined this application and know the same to be true and correct. Alf provisions of laws and ordinances governing this type of work will be completed whefherspecifred 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 f comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only // , PERMIT# Owner/Authorized 4-Mu-Signature Date 77. (Reviser!923/2076)