6408 COMMERCIAL AVE 2019-08-07 - Laserfiche WebLink

- 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 ktIFORMATION PROJECT ADDRESS: 6408 Commercial Ave BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE:_ f I SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY #OF UNITS: ❑COMMERCIAL USE OF BUILDING: residential ELECTRICAL APPLICATION INFORMATION -"` CONTRACT PRICE OF WORK:$ 3000.00 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable); DESCRIPTION OF WORK: 200 amp panel upgrade+20 am dedicated circuit to Kitchen counter+1 outlet in living room and bathroom CONTACT INFORMATION OWNER NAME:Dana Swaim TENANT NAME(If Commercial); `' OWNER MAILING ADDRESS: STREET 6408 Commercial Ave cn,� Everett STATE WA ZIP 98203 OWNER PHONE: 425-344-3745 OWNER EMAIL: CONTRACTOR NAME: BLACK LION HVAC CONTRACTOR ADDRESS: STREET 11001 118TH PL NE . _ CITY Kirkland... STATE WA... ZIP 98033 CONTRACTOR PHONE:425-814-3944 CONTRACTOR EMAIL: Brenda@blackllonhvac.com_ CONTRACTOR Uc.# tEQt D)': BLACKLH873QQ CITY OF EVERETT BUSINESS LIC, REOUIREO):053541 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify), CONTACT NAME: CONTACT PHONE: 425-814-3944 Brenda CONTACT EMAIL:brenda@blacklionhvac.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 wilt 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 i� PERMIT# * ' ft 1 E 1,?Or---0(0 I 0. . "toed r to (Revised 9/23/2016)_.