2216 W MUKILTEO BLVD 2019-02-12 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION /1111/40 CITY f F 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.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2216 W Mukilteo Blvd. Everett, WA 98203 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED El SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Home ELECTRICAL APPLICATION FORMATION CONTRACT PRICE OF WORK:$ 700 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES LST O ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 4 - - ►" -. ON tic SIC. `t" clN) L CONTACT INFORMATION OWNER NAME:Rose, Trade TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2216 W Mukilteo Blvd cmr Everett STATE WA ZIP 98203 OWNER PHONE: 206-372-3754 OWNER EMAIL: CONTRACTOR NAME: LightSmith Electric LLC-Sean Smith CONTRACTOR ADDRESS: STREET 6619-132nd Ave NE PMB#255 cry Kirkland STATE WA zip 98033 CONTRACTOR PHONE: 425-825-5552 CONTRACTOR EMAIL: lightsmithelectriclic@gmail.com CONTRACTOR LIC.#(REQUIRED): LIGHTEL856NQ CITY OF EVERETT BUSINESS LIC.#(REQUIRED):58579 PRIMARY CONTACT: ®OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-753-7625 Sean Smith CONTACT EMAIL:lightsmithelectricllc gmail-corn AGREEMENT:MENT:I 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 ofher state or local law regulating construction or the performance of construction. That t 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 18,27RCW and 296.200 WAC. City of Everett Official.Use Only PERMIT# "'"' r &}j ypyy E •-rne • " •Age t Signature Date (Revised 912312016)