6618 BEVERLY BLVD 2019-01-17 - Laserfiche WebLink

„-�,„! ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257.8857 1(E)everetteps©everettwa.gov( www.everettwa.govlpermits PROJECT SITE INFORMATION PROJECT ADDRESS: 6618 Beverly Blvd Everett WA 98204 BUILDING AREA(if residential,new construction,remodel,or addition)400 SF BUILDING TYPE: 0 SFR-DETACHED ❑SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Shop 9$500 RICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: NUMBER OF DEVICES(if low vFIRE ALARM? 0 YES ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Adding a new electrical box to detached shop I will be doing the work myself CONTACT INFORMATION OWNER NAME: Thaison nguyen TENANT NAME(If Commercial): OWNER MAILING ADDRESS: mem- 11722 4th Ave W c„,, Everett STATE WA zip 98204 OWNER PHONE: 425-210-7837 OWNER EMAIL.thaison316@gmail.com CONTRACTOR NAME: I will do the work my self CONTRACTOR ADDRESS: STREET cm' STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS UC. R QUtRED): 1\--)7k PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE; 425-210-7837 Thaison Nguyen CONTACT EMAIL:thaison316@gmail.com AGREEMENT:I hereby cels'that I have reed and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work wig be completed whether specified herein or not The granting of a permit does not presume to give.authorrty to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction That t em authorized by the owner of this property to perform the work for which application ismade and f comply with the Slate Contractors Law 18.27 RCW and 296,200 WAC. City of Everett Official Use Only PERMIT# ",,,Vi` /i7 E Ido C� OamerlAut Agent' CO#aH ” Date (Revised 9/23/2018)