2404 HILLSIDE LN 2019-03-27 - Laserfiche WebLink

or.cm-- EppEn- ELECTRICAL PERMIT APPLICATION CT'OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERE i 1, WA 98201 (P)425-257-8810 ! FAX 425-257-8857 1 (E)everetteps@everettwagov 1 WWW.everettwa goviperm its PROJECT SITE INFORMATION PROJECT ADDRESS2404 Hillside Lane : BUILDING AREA(if residential new construction,remodel or addition) SF BUILDING TYPE: ii5 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Residential ELECTRICAL APPLICATION INFORMATION "11040615. CONTRACT PRICE OF WORK:S NUMBER OF DEVICES(if low voltage): FIRE ALARM? £JYES El NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: All work within garage. Remove electric wall heater. Replace 4 outlets Remove 1 outlet.Add 2 outlets. Relocate i replace some associated NM cable. Replace outlet source breakers (2) with AF/GCFI breakers.. 1 7.1.001•1111.011•61•0111. CONTACT INFORMATION Mark MalawskiOWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2404 Hillside Lane EverettWA 98203 CITY STATE ZIP OWNER PHONE206-379-2979 OWNER EMAIL:malawskigattnet : CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP :CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT:CONTACT; 10 OwNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-379-2979 Mark Malawski CONTACT EMAIL:Malawski@attnet AGREEMENT:I hereby certify that I have read and examined this application and know the same lobe 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 taw regulating construction or the performance of construction, That tarn authorized by the owner of this property to perform the work for which application is made anti comply with the State Contractors Law 18.27 IICW and 226.200 WAG. , /,,. '4 1 3, City of Everett Official Use Only i ) r , t ,4 re ---1 PERMIT# , i . , , ; . ; 0..,/ /...)// - re-' : E 'I 1 .() S - 12) ,. Owner/Authorized Agent Signature Date (Revisod 9/2.312016) . ..