1425 74TH ST SE 2019-08-13 - Laserfiche WebLink

ECTRICAL PERMIT APICATION I*►� , j-, CITY OF EVERETT PERMIT SERVICS!!ES 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: 1425 74TH ST SE BUILDING AREA(if residential,new construction, remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: SFR ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 250 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: REPLACE GAS FURNACE CONTACT INFORMATION' OWNER NAME: CAROL SLOVE TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1425 75TH ST SE Cin. EVERETT STATE WA ZIP 98203 OWNER PHONE: 425.355.9500 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 21 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.231.2275 JOHN LECTRICPEN 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# ' Ao /' E 1gog - 217 - 0 er/Authorized Agent Signature ate (Revised 9/23/2016)