2412 MAPLE ST 2019-06-25 - Laserfiche WebLink

grr CTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 l (E)everetteps@everettwa.gov l www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2412 Maple ST 1 BUILDING AREA(if residential,new construction,remodel,or addi..n) -( (O SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED ■ :- • : • - AMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: sfr ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 4000 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: continue wiring in of work started by others CONTACT INFORMATION OWNER NAME: Marilyn Rosenberg TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET PO BOX 1675 cnV Everett STATE WA ZIP 98206 OWNER PHONE: 425.258.4940 OWNER EMAIL: CONTRACTOR NAME: EYLANDER SALES & SERVICE CONTRACTOR ADDRESS: STREET 3601 EVERETT AVE CITY EVERETT STATE WA ZIP 98201 CONTRACTOR PHONE: 425.259.2161 CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): EYLANSS142LP CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 016363 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 121 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.231.2275 DR JOHN DA OTHER EYLANDER CONTACT EMAIL: AGREEMENT.:!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# 4/.• �! E ` �� COL{ Ow orized Agent Signature e (Revised 9/23/2016) j