2707 COLBY AVE MOSS ADAMS 2017-08-10

&ECTRICAL PERMIT A19LICATION 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 PROJECTADDRESS: 2707 Colby Ave Suite 801 BUILDING AREA(if residential, new construction, remodel, or addition) remodel SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ® COMMERCIAL USE OF BUILDING: Multiple Commercial ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 4 , 0 0 0 . 0 0 NUMBER OF DEVICES (if low voltage): Under 70 FIRE ALARM? ❑YES L3NO ASSOCIATED BUILDING PERMIT#(if applicable): B1604-012 DESCRIPTION OF WORK: Installation of low voltage access control and CCTV wiring . CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial):Moss Adams OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Valley Electric CONTRACTOR ADDRESS: STREET 1100 Merrill Creek Parkway CITY Everett STATE WA ZIP 98203 CONTRACTOR PHONE: 425-407-0832 CONTRACTOR EMAIL:adamk@velectric . com CONTRACTOR LIC.#(REQUIRED):VALLEEC14INA CITY OF EVERETT BUSINESS LIC.#(REQUIRED):022558 PRIMARY CONTACT: ❑ OWNER ® CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: Adam Kummer CONTACT PHONE: 3 60-84 0-114 7 CONTACT EMAIL: adamk@ve1ectric . com 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 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 I 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 So PERMIT# Owner/Authorized Agent Signature Dale (Revised 10/12/2015)