4203 OLIVE ST 2019-04-29 - Laserfiche WebLink

/11111100ECTRICAL PERMIT AP41 .ICATION _ CITY OF EVERETT PERMIT SERVICES � 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 4 5-257-8857 1 (E) everetteps@everettwa.gov l www.everettwa.gov/permits P OJtECT SITE INFORMAT,IO ,` PROJECT ADDRESS: 4203 Olive Street BUILDING AREA(if residential,new construction,remodel,or addition)N/A SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Residence ELECTRICAL APPLICATION INFORMAT#ON CONTRACT PRICE OF WORK:$ 275 NUMBER OF DEVICES(if low voltage): 1 FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): N/A DESCRIPTION OF WORK: Disconnect and reconnect furnace and replace existing thermostat CONTACT INFORMATIOt - OWNER NAME: Larry Fleckenstein TENANT NAME(If Commercial): N/A OWNER MAILING ADDRESS: STREET 4203 Olive Street cnv Everett . STATE WA ZIP 98203-2107 OWNER PHONE: 360-9094443 OWNER EMAIL: LFleckenstein@EverettSD.org CONTRACTOR NAME: Olympic Mechanical, Inc. CONTRACTOR ADDRESS: STREET 21718 66th Ave W crrr Mountlake Terrace STATE WA zip 98043 CONTRACTOR PHONE: 425-774-8841 CONTRACTOR EMAIL: John@OlympicMechanical.com CONTRACTOR LIC.#(REQUIRED): EC OLYMPMIOO2DG (Elect Lic#) CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 019260 PRIMARY CONTACT: 0 OWNER Pi CONTRACTOR 0 ,.._._. . ..._�,. r,,ws a.�,_:._... �.._T ....., � ....,�� _,_ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-774-8841 John MacDonald CONTACT EMAIL:John@OlympicMechanical.com AGREEMENT'I hereby certify that!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 lam 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# 1 ../OrkiditAAJ 47t-2-) 8 E i 56tif--0 2 , 0authorized Agent Signature Date (Revised 9/23/2016)