5615 SUNSET LN 2019-04-17 - Laserfiche WebLink

(Oren. ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 FAX 425-257-8857 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 5615 Sunset Lane, 98203 BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: la SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Residence ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ $500.00 NUMBER OF DEVICES (if low voltage): 1 FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Install (1) Low Volt Thermostat CONTACT INFORMATION OWNER NAME: Scott Pattison TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 5615 Sunset Lane CITY Everett STATE WA ZIP 98203 OWNER PHONE: 425-870-5606 OWNER EMAIL: CONTRACTOR NAME: D.K. Systems, INC. CONTRACTOR ADDRESS: STREET PO Box 886/ 962 S. Spruce Street C,Ty Burlington STATE WA ZIP 98233 CONTRACTOR PHONE: 360-755-1555 CONTRACTOR EMAIL: tams@dksystemslnc.com CONTRACTOR LIC.#(REQUIRED): DKSYSI*982L1 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):,049744 PRIMARY CONTACT: 0 OWNER I CONTRACTOR ❑OTHER(Please Specify) l / C°3 CONTACT NAME: CONTACT PHONE: 360-770-7981 Cell (-4-5e1-39��- 1 + Kevin Korthuis CONTACT EMAIL: kevin@dksystemsinc.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# D u l ce Herrera 07/02/2018 E c6.64 --c Owner/Authorized Agent Signature Date (Revised 9/23/2016)