1321 COLBY AVE BASE FILE 2021-01-07

h ^P..ir1ad i N- 4677 ELECTRICAL PERMIT APPLICATILI, CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov j www.everettwagov/perrnits PROJECT SITE.INFORMATION (RISS PROJECT ADDRESS: I3 ('n�`/yp Aqe., ��i PillNMA BUILDING AREA(if residential,new construction,refnodei,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: COMMERCIAL USE OF BUILDING: • ELECTRICAL APPLICATION INFORMATION CONTRACT PRiCE OF WORK: $ - r 0-0 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ' ❑YES la NO ASSOCIATED BUILDING PERMIT#(if applicable): / f) / DESCRIPTION OF WORK: . P -r .i-t- (~,-t:i uv rAC:- `_')1=C�ri'-1 T y .S•/Siem - �b-14 —151 + Zr 4,Y1.(l -r -IhD( nikofty 110©(S tv1 - CONTACT INFORMATiIO�ii OWNER NAME: P�c'i''l DEfJC E 14I~DIC L CE/vrER TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET PO gC,?; 10G- CITY EdEW .ir STATE 'A ziP QSayCo OWNER PHONE: if"25'-26I-34 f 3 OWNER EMAIL: CONTRACTOR NAME: ARO/050/-3 JEC.vRi-1 1 G.aou f' CONTRACTOR ADDRESS: STREET (,OO OAxr_s.P,\L E A4 . S.-� /� C cfTY R, KIT O� STATE La)A ZIP 9(,UPJ J 7 CONTRACTOR PHONE: 20(0- 2`.i- T35-D 3 ,CONTRACTOR EMAIL:Pook..Aeok::seoe het.,Nsok)sEc til 2 flY,C.CfY) CONTRACTOR LIC.#(REQUIRED): AP.c°KIS S&E)13 C ( CITY OF EVERETT BUSINESS LIC.#(REQUIRED):CS i C( j 7 PRIMARY CONTACT: 0 OWNER ra CONTRACTOR 0 OTHER(Please Specify) !CONTACT�y�N1jA �j/� 'CONTACT PHONE: 2 . 2 1-j$ -i*Altiq b jimi/!T 2 / 10 o t i��ii// way `CONTACT EMAIL: j enet i�i�C.�s1 Ali" 0 a��'0y'�7 de AGREEMENT.T hero certify h. I have calk(and exa fined this application and know the same to be true and correct. All provtsens of_ws and ordinances governing this .,v,.��tl,� .,�y that. P type of work will be completed whether spec ed 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.aw regulating construction or the performance of construction. That I am authorized by the owner of this properly to perform the work for which application is made and I comply with the Stale Contractors Law 18.27 ROW-and 296.200 WAC. City of Everett Official Use Only FEE I i` / 7---.., ' , 1 PERMIT# - I E (Vs. E `00 jar / /r i t "1-1 1 Owner/Authorized Agent Signature Date (Revised 1042/2015)