2830 107TH PL SE 2019-08-20 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION 41G-44CITY 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,govipermits PROJECT SITE INFORMATION •PROJECT ADDRESS: 2830 107th PI SE BUILDING AREA if residential,new construction,remodel,or addition) SF BUILDING TYPE: gi SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY #OF UNITS: 0 COMMERCIAL USE OF BUILDING: Residential ELECTRICAL APPLICATION INFORMATION „ . CONTRACT PRICE OF WORK: $ 350.00 NUMBER OF DEVICES(if low voltage): FIRE ALARM? CI YES DNa ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Installed temp power whip for restoration work due to fire CONTACT INFORMATION OWNER NAME: Akins TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2830 107th Place SE Everett STATE WA z:p. 98208 OWNER PHONE. OWNER EMAIL: CONTRACTOR NAME: Boyer Electric Co Inc CONTRACTOR ADDRESS: 8119 240th St SW crry Edmonds STATE WA zn 98026 CONTRACTOR PHONE: 206 367-7606 CONTRACTOR EMAIL: karen©boyerelectric.com CONTRACTOR LIC.#(REOuiRED): BOYE REC101LE CITY OF EVERETT BUSINESS LIC.#iREOLIRED) 22147 PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206 367-7606 Karen Hanson CONTACT EMAIL: karen@boyerelectric.com AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct Ali 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 emulsions of any other state or local law regulating construction or the performance of construction. That lam authorized by the owner of this property to perform the work for which application is made and! comply with the State Contractors Law 18.27/ROW and 296,200 WAC. City of Everett Official Use Only PERMIT E Date (Revised - 0s3 OulfteriA ortzed Agent Si• r tore Date (Revised 9/2312016)