1021 EDWARDS AVE 2019-02-05 - Laserfiche WebLink

• 477 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8887 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1021 Edwards Ave BUILDING AREA(if residential,new construction,remodel,or addition)2053 SF BUILDING TYPE: 2I SFR-DETACHED a SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Primary Res'1� ELECT- ICAL APPLICATION INFORMATION CONTRACT PRICE OF WOR ':$ 1350 NUMBER OF DEVICES(if I. voltage): 1 r-w hot tub circuit FIRE ALARM? ❑Y S '4 NO ASSOCIATED BUILDING P T#(if applicable): N/A DESCRIPTION OF WORK: Installing a new 240V/50A circuit for a hot tub CONTACT INFORMATION OWNER NAME:Aliina Anton-Erik TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1021 Edwards Ave cm Everett STATE WA Zip 98201-9860 OWNER PHONE: 206-854-9860 OWNER EMAIL:aantonerik a@yahoo.corn CONTRACTOR NAME: Aqua Quip CONTRACTOR ADDRESS: STREET 730 SW 34th St. cin Renton STATE WA zip 98057 CONTRACTOR PHONE: 425-264-2350 CONTRACTOR EMAIL: electricak aquaquip.com CONTRACTOR LIC.#(REQUIRED): AQUAQQ*923LJ CITY OF EVERETT BUSINESS LIC.*REQUIRE• 025546 PRIMARY CONTACT: ❑OWNER Q1 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-264-2350 Jordan CONTACT EMAIL: hall@aquaquip.com AGREEMENT:t hereby certify that 1 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 ole permit does not presume to give authority to violate or canel the provisions of any other state or local law regulating construction or the performance of construction. That!am authorized by the owner of this properly to perform the work for which application is made and I comply with the State Contractors Lew 18.27 RCW end 296.200 WAC. City of Everett Official Use Only PERMIT# E \SOc) oLf3 Owner/A orized Agent Signature Date (Revised 9/23/2016)