6405 CYPRESS ST 2019-01-28 - Laserfiche WebLink

• ELECTRICAL PERMIT APPLICATION r .;n CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov i www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:6405 Cypress St BUILDING AREA Of residential,new construction,remodel,or additfbn)1400 SF BUILDING TYPE: ❑SFR-DETACHED la SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Residential ELECTRICAL:°APPLICATION INFORMATION r CONTRACT PRICE OF WORK: $ 600 NUMBER OF DEVICESSif low voltage): FIRE ALARM? 0 YES ®NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: like for like furnace replacement CONTACT INFORMATION OWNER NAME:Matthew Cuddy TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 6405 Cypress St CITY Everett STATE WA 21P 98203 OWNER PHONE: 425-312-8160 O• WNER EMAIL;, • CONTRACTOR NAME: Bob's Heating ot Air Conditioning CONTRACTOR ADDRESS: STREET 14148 NE 190th St CITY Woodinville ._.. CONTRACTOR PHONE:800-840-3346 CONTRACTOR EMAIL: echau@bobsheating.com CONTRACTOR LIC.#(REQUIRED):;.BOBSHHA85ONJ CITY OF EVERETT BUSINESS LIC... REO1fl O);054967 PR,(MARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT::t 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* /—jL,-( � Et o 6 eer/Autttairefi Agent Signature Date (Revised 9/23/2016)