3712 COLBY AVE 2022-01-27 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION 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 IPROJECT: SOTC [IMFORML T 0d[ PRO JECTADDRESS: 37IZ L -t6y 4i/-e- BUILDING AREA (if residential, new construction, remodel, or addition) f{ �U SF BUILDING TYPE: ❑ SFR DETACHED SFR-ATTACHED ❑ DUPLEX ❑ MULTI -FAMILY - # OF UNITS: ❑ COMMERCIAL USE OF BUILDING: CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑ YES ❑ NO ASSOCIATED BUILDING PERMIT # (if applicable): DESCRIPTION OF WORK: iii 1 Pt Fd 12 NZ"J %vwnl,/-/v N CoWIN E'ie 9PW 'iw-z V-1-MN'eN ►q--r L ►��R p v�i leT S t� ��ae Cet.ATxrL Lre-,H"T /'itf CONTACT INFORMATION . OWNER NAME: Ci,M i`7TLmfP<V-ry 6CL►1?'I Dn/ TENANT NAME (If Commercial): OWNER MAILING ADDRESS: STREET c ffy STATE ZIP OWNER PHONE: 14Vu 3(1-7U OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET tr t I (Q CITY w a •i'i v m 15.4 - STATE zip 2 c7 G CONTRACTOR PHONE: 2 %�") '1 13 Z CONTRACTOR EMAIL: �ctv ie2� Lac rs�: c� 3 C rain w I L , Cawi CONTRACTOR LIC. #(REQUIRED): Fc'V V &eL g3SiN I CITY OF EVERETT BUSINESS LiC. #(REQUIRED): PRIMARY CONTACT: ❑ OWNER y Vf CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: �1�L+4N CONTACT PHONE: OILS— 7 ffq 7 / 3 Z- CONTACT EMAIL: �"T-, eL-eerv-1L Cawt�lt AGREEMENT.- Thereby certify that/ 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/ 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 FF RMIT # I owner/Authorized Agent Signature Date (Revised 1011212015)