Laserfiche WebLink
OrE77 ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 10,9 Le �. <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: ESesFR-DETACHED 0 SFR-ATTACHED Ial UPLEX 0 MULTI-FAMILY-its OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: 3`- <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 'oO <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if plicable); i[ <br /> DESCRIPTION OF WORK: a t^A- y» t S-`I;1 a. <br /> ,r. <br /> / e,c_ SJO _ 40 C7 <br /> CONTACT INFORMATION <br /> OWNER NAME: S.t J } yc irvaGAT,ENANT NAME Of Commercial): <br /> OWNER MAILING ADDRESS: s kker 0 { <br /> r�19Y {.'°� ) STATE, ii Or 9 <br /> c . <br /> OWNER PHONE: YvE 3( f OWNER EMAIL; <br /> CONTRACTOR NAME: Brennan Heating <br /> CONTRACTOR ADDRESS: sraEET4601 S 134th PI <br /> c:,, Seattle STATE Wa w 98168 <br /> CONTRACTOR PHONE: 206-248-7900 JCONTRACTOR EMAIL: Jairnie@brennanheating.com <br /> brenrnanheatirtg.com <br /> CONTRACTOR LIC.#(REQUIRED): BRENNHA962DU CCITY OF EVERETT BUSINESS LIC.#(REQUIRED):028230 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-248-7900 <br /> Jaimie How CONTACT EMAIL:Jairl'tie@brerirtariheatirig.COm <br /> AGREEMENT.t hereby certify that I have read and examined this application and know the same to be true and coavect. All provisions of laws and ordinances governing this type <br /> of work evil;be Cornptetad whether speclfierf herein or net rho grantinr2 of a pertmt does not presume to give authority to rrvtdts or cancel rho provisions at:;tragi other state or <br /> boat taw regulating construotion or the porfortsarinie otepnstructirsn, That f errs authorfxed by the owner of this property to perform the work for which aipptuCafion is made and I <br /> comply with the State Contractors Law 18,27 RCW and 296 200 WAG <br /> City of Everett Official Use Only <br /> PERMIT# ,, ,! <br /> (jok1Y4- —'' bI1 <br /> e 18 0-2,v"J <br /> Ownert orized Agent Signature Date (Revised 9/23/20l6) <br />