2916 17TH ST 2019-06-05 - Laserfiche WebLink

471E-17- 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: 2916 17th Street BUILDING AREA(if residential, new construction, remodel, or addition)alteration SF BUILDING TYPE: ❑SFR-DETACHED 44 SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: D COMMERCIAL USE OF BUILDING: Single family residence A" 1 <44 -ECTRICAL APPLIC ` RM TION 0q CONTRACT PRICE OF WORK:$ 1000 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Disposal Circuit, Dishwasher Circuit, New Switch, New Outdoor Receptacle CONTACT INFORMATION OWNER NAME: Chris Matthews TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2916 17th St CITY Everett STATE WA ZIP 98201 OWNER PHONE: 425-301-0071 OWNER EMAIL: CONTRACTOR NAME: Switch Electric CONTRACTOR ADDRESS: STREET 7226 139th Ave NE CITY Lake Stevens STATE WA ZIP 98258 CONTRACTOR PHONE: 425-244-5511 CONTRACTOR EMAIL: service@myswitchelectric.com CONTRACTOR LIC.#(REQUIRED): SWITCEL91 OPK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 052557 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-232-7467 Joseph Schlegel CONTACT EMAIL:Joseph@myswitchelectric.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 /LiJ �L� E SCD -.— L 24/18 Owner/Authorized Agent Signature Date (Revised 9!23/2016)