2707 COLBY AVE MOSS ADAMS 2017-08-10

%ECTRICAL 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 PROJECT SITE INFORMATION PROJECT ADDRESS: 270 C- 't, '- BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: XCOMMERCIAL USE OF BUILDING: © �� ELE TRI L APPLICATION INFORMATION CONTRACT PRICE OF WORW$ $ c NUMBER OF DEVICES (if low Vo e : —00 FIRE ALARM? ❑YES KNO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 44 i OJO 4Ek Is' CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): ' cz AbAins LLP OWNER MAILING ADDRESS: STREET CITY rttierl STATE V ZIPao �. OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: SLS 7� CONTRACTOR ADDRESS: STREET 1416 Z CITY 1—�(,' srnrE LJAZIP � � •�... CONTRACTOR PHONE: 'Zq6 CONTRACTOR EMAIL: a a cojxcaL 4 , CONTRACTOR LIC.#(REQUIRED): t5_rj1j 0 ICITY OF EVERETT BUSINESS LIC.#(REQUIR ) PRIMARY CONTACT: ❑OWNER IR CONTRACTOR ❑OTHER(Please Specify) CONT/ACT NAME: CONTACT PHONE: — . Zq RrFC �PI rQ5 CONTACT EMAIL: Q o & comLasf 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 .t5® PERMIT# Owner/Authorized gent Signature Date (Revised 10/12/2015)