2301 COLBY AVE 2019-10-31 - Laserfiche WebLink

kECTRCAL PERMIT AKATION CiTY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 FAX 425-257-8857 j (E) everetteps@everettwa.gov J www.everettwa.gov/permits - PROJECT SITE INFORMATIOi . � p PROJECT ADDRESS: 2 3o ( Co- /1-1/P Atir f . /12 u/A- S / BUILDING AREA(if residential,new construction,rerMdel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED ID SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: �J o� 41 ate ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ NUMBER OF DEVICES(if low voltage): FIRE ALARM? )`YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: sw>a(L . mf pJc -e 5 CONTACT INFORMATION ; OWNER NAME: D(.,12� L�' er (t((dt"TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET,2 3 0)/ CITY '''" SSTATE 1 ZIP OWNER PHONE: 77O e s7 �l G� `�J OWNER EMAIL. k ~ 1 � _ cj - )4, Cent cG�f 0)(0.1110Q.(01/7 CONTRACTOR NAME: 6-1-r1 e . p ( �c ItKoi CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) _ / CONTACT NAME: CONTACT PHONE: 76 0- 6 3 7 S "i l NI-Pc?.6-- l(/(1(GV CONTACT EMAIL: AGREEMENT:T 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 tam 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 FEE S41 PERMiT# /0(03 /„,70/i E (Vol o�� Own- Authorized Agent Signature Date (Revised 10/12/2015)