1308 100TH PL SE 2019-08-19 - Laserfiche WebLink

Aug. 1. 2017 2: 27PM No. 0210 P. 2 477 E!CTRICAL PERMIT APPI A C TION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa,gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1308 100TH PL SE BUILDING AREA(if residential,new construction, remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHE=D 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: Q COMMERCIAL USE OF BUILDING: POLE ELECTRICAL APPLICATION INFORMATION . f CONTRACT PRICE OF WORK: $ 2600 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES Iia NO ASSOCIATED BUILDING PERMIT#(If applicable): DESCRIPTION OF WORK: INSTALL NEW GOUND MOUNTED CABLE BOX POWER SUPPLY CONTACT INFORMATION OWNER NAME:COMCAST TENANT NAME(If Commercial): _ OWNER MAILING ADDRESS: STREET 1525 75TH ST SW SUITE 200 • cm, EVERETT STATE WA ZIP 98208 • OWNER PHONE: 425-374-2119 OWNER EMAIL: CONTRACTOR NAME: AHEARN ELECTRIC INC CONTRACTOR ADDRESS: smREET4843 AUTO CENTER WAY SUITE C crry BREMERTON _ STATE WA 2,r' 98312 CONTRACTOR PHONE: 360373-1900 CONTRACTOR EMAIL: ERENNA@AHEARNELECTRIC.NET CONTRACTOR LIC.#(REQUIRED): AHEAREIOO8PA CITY OF EVERETT BUSINESS LIC.#(REQUIRED);056720 PRIMARY CONTACT: ©OWNER 21 CONTRACTOR 0 OTHER(Please Specify) - CONTACT NAME: CONTACT PHONE: 3603731900 ERENNA DAVIS CONTACT EMAIL: 3603731900 AGREEMENT:I hereby certify that!have mad and examined this application and know the same to be true end correct. All provisions of laws end 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 slate 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# ' ) i 2S) 1 7- E klitA- ot..01 . ... :, ''''---7.. 41k —...m. a wne ' t orized Agent Signature a.to (Revises sd9/O 16)