505 COLBY AVE 2019-10-31 - 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 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT,SITE,INFORMATION PROJECT ADDRESS: S05 CO bU AV1-0 BUILDING AREA(if residential,new construction,� remodel,or addition) SF BUILDING TYPE: I SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: `ELEC'II4RICAL APPLiekrioN 1. ORM,1 11ON CONTRACT PRICE OF WORK: $ 2-5-CD NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES SIN° ASSOCIATED BUILDING PERMIT#(if applicable): .DESCRIPTION OF WORK: Iv*1 j 5e4t C I.G.�LlZ - /-f•s . at— OWNER NAME: AStitt e� TENANT NAME(If Commercial):. OWNER MAILING ADDRESS: STREET }t4 r q '}ry / "YL.r+!*^'� STATE. L&,� rip Clig .O OWNER PHONE:12.0 2 740 574,"" JOWNER EMAIL, CONTRACTOR NAME: Karnali 0 i1 CONTRACTOR ADDRESS: STREET 114t5 jaciv. /1 CITY leetiCRer STAM CONTRACTOR PHONE: Los a5qocHo (CONTRACTOR EMAIL: d e,b CONTRACTOR CT�#jREGttiiRED)i }'� _ _._.�_... ... Wei t#� — CITY OF EVERETT BUSINESS LIC,#(REQUIRED): 1 1QO PRIMARY CONTACT: 0 OWNER risCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: //�� CONTACT PHONE: (-f 55 35q D,• .' V :�><.l�t��((��ie CONTACT EMAIL: det� i - IizGm _ .caai'Y) AGREEMENT:t hereby certify that 1 have read and examined this application and know the same to be true and 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 stale 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 Stale Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# Feb t4-"' . 0(24,0-/ Owner/Authorized Agent Slgnre Date (Revised 9/23/2016)