Laserfiche WebLink
00011PP'- titECTRICAL PERMIT AIMLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEREI i,WA 98201 <br /> (P)425-257-8810 j FAX 425-257-8857 I (E)everetteps@everettwa.gov I wwvv.everettuvagovipermis <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 2506 Pine St, Everett, WA 98201 <br /> BUILDING AREA(if residential,new construction,remodel,or addition)1213 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATI-ACHED 0 DUPLEX 0 MULTI-FAMILY #OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Primary Residence. <br /> ELECTRICAL APPUCATIOlt INFORMATION <br /> CONTRACT PRICE OF WORK:$ 2500 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? El YES 0 NO <br /> ASSOCIATED 131111-DING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Remove and replace old knob&tube wiring.Add additional outlets to north office wall, <br /> north living room wall, relocate rnudroom outlet,and relocate both bathroom and 1/2 bath outlets. <br /> Replace bathroom faniheaterilight with singe fan. <br /> CONTACT INFORMATION <br /> OWNER NAME:Joseph Worthington TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 2506 Pine St <br /> ow Everett STATE Washington zip 98201 <br /> OWNER PHONE: 425-791-2886 OWNER EMAIL:joewor/hington@live.com <br /> CONTRACTOR NAME: <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.*(REQUIRED): <br /> PRIMARY CONTACT: 121 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-791-2886 <br /> Joseph.'I orthirigton CONTACT EMAIL:joeworthingtangive.com <br /> AGREEMENT:I hereby carhry that(have read and examined this application and know the same to be true and correctAll provisions of laws and ordinances governing this type <br /> of work will be completed whether specified herein or not. The granting of.a permit does not presume to give euthorityto violate or cancel the provisions of any other state or <br /> 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 <br /> comply with the State Contractors Law 18.27 RCW and 296.209 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> E 12- ()L ,1°t <br /> fiwirAew <br /> .A.OwneriA wind Agent Signatu 0 Date (Revised 9/23/2018) <br />