728 VIEW RIDGE DR 2019-04-17 - Laserfiche WebLink

4L-r ELECTRICAL PERMIT APPLICATION 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 SITE INFORMATION PROJECT ADDRESS: 728 VIEW RIDGE Dr BUILDING AREA(if residential,new construction,remodel,or addition) Residential SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Home ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 1500 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Replacing existing bathroom fan CONTACT INFORMATION OWNER NAME: Ray Cupler TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET Same CITY STATE ZIP OWNER PHONE: 425.259.6287 OWNER EMAIL: cupler728@comcast.net CONTRACTOR NAME: Arrow Insulation Inc CONTRACTOR ADDRESS: STREET PO Box 1233 cr,.r Mount Vernon STATE WA ZIP 98273 CONTRACTOR PHONE: 206-682-9276 CONTRACTOR EMAIL: service@arrowconservation.com CONTRACTOR LIC.#(REQUIRED): ARROWI I855M1 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):052485 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-686-0002 Logan Frederickson CONTACT EMAIL: Ifrederickson@arrowconservation.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 1 am authorized by the owner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# 0)A/18 E l 9)t)e-41D erg /Authorized Agent Signature Date (Revised 9/23/2016)