11925 SILVER LAKE DR 2019-07-08 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION /qPP/41‘ ...-4CITY 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: 1 1925 Silver Lake Dr BUILDING AREA(if residential,new construction,remodel,or addition)200 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Residential ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 1500.00 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: install new lighting in kitchen, add kitchen receptacle, relocate 3 switches new fan in bathroom CONTACT INFORMATION OWNER NAME:TOM & Kris Isenhart TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 11925 Silver Lake Rd c,r Everett STATE Vv`A' A ZIP 98208 OWNER PHONE: 425 210 2624 OWNER EMAIL: CONTRACTOR NAME: k v electric corp CONTRACTOR ADDRESS: STREET p o box 382 cny Silvana STATE WA ZIP 98287 CONTRACTOR PHONE:425 503 4305 CONTRACTOR EMAIL: kvelectric@mSn.COm CONTRACTOR LIC.#(REQUIRED): kvelec*972cj CITY OF EVERETT BUSINESS LIC.#(REQUIRED):052588 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425 5503 4305 Vicki Hadley CONTACT EMAIL: 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 PERMIT# Owner/Authorized Agent Signa ure Date (Revised 9/23/2016)