2707 COLBY AVE MOSS ADAMS 2017-08-10

OLECTRICAL PERMIT APO ICATION 001-7T CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 j (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: Moss Adams 2707 Colby Avenue Everett,WA 98201 BUILDING AREA(if residential, new construction,remodel,or addition) 21,000 SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ $65,000.00 NUMBER OF DEVICES if low voltage): 285 FIRE ALARM? El YES ®NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Low voltage communications cabling CONTACT INFORMATION OWNER NAME: TENANT NAME if Commercial): Moss Adams OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Evergreen Technologies, INC CONTRACTOR ADDRESS: STREET 3623 East Marginal Way S CITY Seattle STATE WA zip 98134 CONTRACTOR PHONE: 206-774-1362 CONTRACTOR EMAIL: cnguyen@evergreenpS.net CONTRACTOR LIC.#(REQUIRED): EVERGTI929K9 ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): 050182 PRIMARY CONTACT: ❑OWNER M CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-774-1362 Chau Nguyen CONTACT EMAIL: cnguyen@evergreenps.net 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 goveming 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 orcancel 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 prop arty to perform the work for which application is made and t compty with the State Contractors Law 18.27 RCW and 298.200 WAC. City of Everett Official Use Only FEE PERMIT# Owner/Authorized Agen tj urcQ Date (Revised 10/12/2015)