2428 STATE ST 2019-04-17 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION /111110;:z/:::‘ 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 ADDRESS: 2428 State St BUILDING AREA(if residential, new construction,remodel,or addition)2000 SF BUILDING TYPE: 0 SFR-DETACHED ❑SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: residential Home CONTRACT PRICE OF WORK: $ 10,000.00 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Residential new construction C01 �f►CT INFORMATIION OWNER`NAME:'EvOl01,t1O Pf eS TENANTNAME'(4f Commercial): OWNER MAILING ADDRESS: STREET 6502 Commercial Ave c,TM Everett STATE Wa zip 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Wyatt Electric& Construction LLC. kCONTRACTOR A Ssz siiREET PO B D%74 c,,,r Granite Falls STATE wa ZIP 98252 CONTRACTOR PHONE: 425-870-5485 CONTRACTOR EMAIL: Wyattelectric.office@gmail CONTRACTOR LIC.#(REQUIRED): WyattEC854JL CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 054452 PRIMARY CONTACT: 0 OWNER 21 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-359-5979 Dave Wyatt CONTACT EMAIL:Wyatte)ectric@gmai).com AGREEMENT: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 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# ,011111.9- / E - L \ Owner/• thorized Agent Signat-re Date (Revised 9/23/2016)