1321 COLBY AVE BASE FILE 2021-01-07

F. "ild,:":4,11aa 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 I www.everettwa.gov/permits �s PROJECT SITE INFORMATION PROJECT ADDRESS: 13 2( COG-BY Akio. BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: $COMMERCIAL USE OF BUILDING: • ELEC -.ICAL APPLICATION INFORMATION . • CONTRACT PRICE OF WORK: t {( O NUMBER OF DEVICES (if low volt=ge): 1-1 FIRE ALARM? 0 YES Z$NO - ASSOCIATED BUILDING PERMIT# :..licable): DESCRIPTION OF WORK: 4-4iS-riliri_ C_ze-vt:.) vc::C.TA{.7-- `PC's " I i 1 .Isr-ern - SEA - 15724 D u 8k-v_ Vocelas -to B t r2rt{t Ast- Up IT* AlNTACT INFORMATION - . OWNER NAME: PReis'i Dil sc 1+1 RP ICA-C.Eio ra e TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET Po goX YO(cl CITY _ I mE Tr STATEui A 21P ` (n o c,, OWNER PHONE: 4--)5-2(0I-39 t 3 OWNER EMAIL: CONTRACTOR NAME: A20 .)50i-1 3 lV R1 T 1 G-2O'L.7i) CONTRACTOR ADDRESS: STREET (4,00 OAZ S ALE 'J 12- S --``-) _( cm, (` i-, t oi-'' STATE L-..�A ZIP 9' JS CONTRACTOR PHONE: 2000- 2''61 - 355 3 CONTRACTOR EMAIL:PA'i A,203Sc 6'A2GN`ci SECO Q+7'7-Ce ori CONTRACTOR LIC.#(REQUIRED): AR-0 kiSSC 01 3 C ( CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 31 SSS 7 PRIMARY CONTACT: 0 OWNER Z CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 2 Co,-- 2 45- t Li - I I CONTACT EMAIL: PfrsU(.. 4','O 1SCA . ,Atl?t`-+.J'Ol-iSE=C:: i T r. eCell AGREEMENT:T hereby 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 wilt 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 atner Stale or local law regulating construction or the performance of construction. That 1 am 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 5 / ', / ; PERMIT# ! 1 E g c, ( (-- 00 12, Owner/Authorized Agent Signature Date ' (Revised 10/12/2015)