1701 104TH PL SW 2019-08-20 - Laserfiche WebLink

41477- ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 (E) everetteps@everettwa.gov I www.everettwa.gov/permits ... _.PROJECT.SITE INFORMATION .... ,. ... PROJECT ADDRESS: 70 j nut T P1 S A BUILDING AREA(if residential,new construction,remodel, or addition) )Ci SF BUILDINGTYPE:%FR-DETACHED 0 SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Z..d% A v,. �, ELECTRICAL APPLICATION'::INFORMATION CONTRACT PRICE OF WORK:$ Cingg LK) NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES ❑NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 1l Ct 1 1 Aro%3 .61,'aiC4-1. c c hQo' iJ( i Ye: -r`��`f - t CONTACT INFORMATION OWNER NAME: ...L P TCR l fes.. TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1-101 O4O" CITY E.1iff jf; STATE VV'A ZIP Li OWNER PHONE:,: 010.44n-4 I OWNER EMAIL: CONTRACTOR NAME: G&S HEATING CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE cir. EVERETT STATE WA nP 98201 CONTRACTOR PHONE: 425-252-4402 CONTRACTOR EMAIL: DAWN@GSHEATING.COM CONTRACTOR LIC.#(REQUIRED): GSHTGSH930RK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 019685 PRIMARY CONTACT: ❑OWNER ®CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-252-4402 DAWN WEIMER CONTACT EMAIL: DAWN@GSHEATING.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 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 ROW and 296.200 WAC. City of Everett Official Use Only OMIT#$11/1 cri-A-r)9004 - -I g' E \g0(6-101I Owner/Authoriz d Agent Signature Date (Revised 9/23/2016)