2529 97TH PL SE 2019-08-19 - 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 s::pR ............. . .......:...::. ..:..._....::...:............:...:...::.... PROJECT ADDRESS: 3.,45Z29 01-14ti \J ()Tr-- BUILDING AREA(if residential,new construction, remodel,or addition) SF BUILDING TYPE: 'SFR DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: '93.Av oily' tr: ELECTR :;:: IC P TIO A1,A PLICA N NFOR A . CONTRACT PRICE OF WORK:$ _ (1 it-‘, NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 1440 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: .f; %R^\R iP I` :>( 7f (i4f Q S ,4i{ FY�J�.. 4, r}: i :CONTACT INFORMATION OWNER NAME: ?).--.A\ AlA1,0A TENANT NAME(If Commercial): OWNER MAILING ADDRESS: smeer �J%� ,! � VJ L. S CITY ---A 2.8 STATE tl,A - ZIP OWNER PHONE1- -;/, �vL .�,s"' OWNER EMAIL: CONTRACTOR NAME: G&S HEATING CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE cry EVERETT STATE WA zip 98201 CONTRACTOR PHONE: 425-252-4402 CONTRACTOR EMAIL: DAWN@GSHEATING.COM CONTRACTOR LIC.#(REQUIRED): GSHEAHC8218R CITY OF EVERETT BUSINESS LIC.#(REQUIRED):60058 PRIMARY CONTACT: In OWNER I21 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425_252_4402 DAWN WEIMER CONTACT EMAIL:DAWN@GSHEATING.COM AGREEMENT::I hereby certify that l 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 constnfction. That!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 j q d PERMIT# E MO ( --- 0(e(v Owner/Authorized Agent Signature Date 1 (Revised 9/23/2016)