1430 MADRONA AVE 2019-02-11 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 ( FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE±,INFORMATION;;:: PROJECT ADDRESS: ,.(-4777) y a ,2 BUILDING AREA(if residential, new construction,remodel,or addition) SF BUILDING TYPE: 0'SFR-DETACHED G SFR-ATTACHED ❑DUPLEX 0 MULTI-FAMILY-#OF UNITS: D COMMERCIAL USE OF BUILDING: ELEGTRICAL:APPLICATION INFpRMAT10N:::. CONTRACT PRICE OF WORK:$ ';t') oD NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES Vl NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: �t� /;.i f s10 i7 n:. f • CONTACT INFORMATION.:::::. OWNER NAME: t)I Ar) \-e% kA) TENANT NAME(If Commercial): , OWNER MAILING ADDRESS: STREET L ' ft r,�..-y;-vA CIN ` STATE ZIP q s OWNER PHONE: 11.rAo OWNER EMAIL: CONTRACTOR NAME: G&S HEATING CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE cm( EVERETT STATE WA zip 98201 CONTRACTOR PHONE: 425-252-4402 CONTRACTOR EMAIL: DAWN@GSHEATING.COM CONTRACTOR LIC.#(REQUIRED): GSHTGSH93ORK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 019865 PRIMARY CONTACT: 0 OWNER is CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-252-4402 DAWN WEIMER CONTACT EMAIL: DAWN@GSHEATING.COM AGREEMENT:1 hereby certify that I have reed and examined this application and know the same to be true and correct. Ail 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 98.27 RCW and 296.200 WAC. City of Everett Official Use Only / PERMIT* 414, E l ot2, Owner/Authorized Agent Signature Date (Revised 9/23/2096)