3710 COLBY AVE 2022-01-27 - Laserfiche WebLink

?—LECTRICAL PERPMT APPUCATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT srrE 0wonff]ATROrH PROJECT ADDRESS: -�% 1 D C L f 7 BUILDING AREA (if residential, new construction, remodel, or addition) 2 �� SF BUILDING TYPE: ❑ SFR-DETACHED SFR ATTACHED ❑ DUPLEX ❑ MULTI -FAMILY -# OF UNITS: ❑ COMMERCIAL USE OF BUILDING: OWti P_LLIA)6 ELECTRICAL APPLICATION! INIFORMATOOM CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑ YES ❑ NO ASSOCIATED BUILDING PERMIT # (if applicable): DESCRIPTION OF WORK: W 1R•t Fc P— /Vtw -Thw/v,1-1bm-e lAttwDIW7 Pt4yez, 9pw4.e, 2v Alewr, 1 aye$o+i D -FJ4T L�1TCH�n/ 1�?'I� C�4KnrTjR Dvt�l�`r5 C� t!'c�pe C-ei.-ArcrL Lrc,,at-T 1.,v- -c w e rl 60" IN�t S1 aZ CONTACT INFORMATION:.: OWNER NAME: C I-M R161V<QTy , :' tt fi/ an/ S TENANT NAME (If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE LIP OWNERPHONE: 3u7(p OWNEREMAIL: CONTRACTOR NAME: F Cyr 117C'R- L-L< - CONTRACTOR ADDRESS: STREET tt I (Q CITY SN044c"13-1+ STATE LN ZIP CONTRACTOR PHONE:'4*2-.S- -76) -713 2- 1CONTRACTOR EMAIL: C ,Gw, w r L ,Caves CONTRACTOR LIC. #(REQUIRED): FC^j1-teL g35-+ti -e CITY OF EVERETT BUSINESS LIC. #(REQUIRED): 15� -.77 (O `7 _,...w.....,.,.... _ , u,,...... �......, a......,...... ..... ____ ..... PRIMARY CONTACT: ❑ OWNER iffCONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: ✓� L #+AJ 2 CONTACT PHONE: 1I2S— 7 8'1 CONTACT EMAIL: i�MrerLete t fL1L 1 C,r� w L - Ce"�1 AGREEMENT., Thereby 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/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC City of Everett Official Use Only FEE PERMIT # Owner/Authorized Agent Signature Date (Revised 1011212015)