9129 3RD AVE SE 2019-05-23 - Laserfiche WebLink

JUL/25/2018/WED 07: 44 AM Gre d Heating FAX No, 206 44 216 P, 001/001 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov www,everettwa.gov/permits • PROJECT SITE INFORMATION PROJECT ADDRESS: 9129 3rd Ave SE Everett 98208 BUILDING AREA(if residential, new construction,remodel,or addition)1822 SF BUILDING TYPE: ICI SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Resdential home ' ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 801 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES ®NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 25Amp to a minsplit _ New 120 Volt/20 Amp circuit to GFCI CONTACT INFORMATION - --� OWNER NAME:Geri Nelson TENANT NAME(If Commercial):na OWNER MAILING ADDRESS: STREET 9129 3rd Ave SE /� Q�7 CIN Everett u STATS WA ZIP 98208 OWNER PHONE: 425-501-7699 OWNER EMAIL: CONTRACTOR NAME: Brenda Keller CONTRACTOR ADDRESS: STREEr825 S Stacy ST cam,Seattle sfarE WA ZIP 98134 CONTRACTOR PHONE:206-783-2525 CONTRACTOR EMAIL: Brendak@asyouwisheiectric_com CONTRACTOR LIC,#(REQUIRED): Asyouyw925nm CITY OF EVERETT BUSINESS LIC.#(REQUIRED):048.862 PRIMARY CONTACT: ❑OWNER Et CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-783-2525 Brenda CONTACT EMAIL:brendak@asyouwishelectric.com AGREEMENT:I hereby certify that I have read and examined this application and know the same to he 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 sm authorized by the owner of this property to perform the work for which application is made end 1 comply with the State Contractors Law 18.27 RCW and 298.200 WAC. City of Everett Official Use Only PERMIT# 1 1""2, E kg02--q� Owne •utho z S Agent Signature lbete (Revised 9/23/2096)