3501 COLBY AVE COMMONWEALTH ASSOC 2017-08-18

VJECTRICAL PERMIT AFLICATION 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: 3 S o Coli A✓t-Ju e- BUILDING AREA(if residential, new construction, emode or addition) L t SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: D<COMMERCIAL USE OF BUILDING: `AL_ ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERWT# (if applicable): DESCRIPTION OF WORK: 1,�' ��k ��t �`�� -Scjd1,kc-3 ktA CONTACT INFORMATION OWNER NAME: C- Ilt ASS e fi .arc eA-,.j'�- TENANT NAME (If Commercial): )"j W ?'4 OWNER MAULING ADDRESS: STREET-7/7 v, dq3a,t t"j `'�'t K CITY STAT= tA�4 ZIP OWNER PHONE: 2-(2-' 2a S- �� OWNER EMAIL: �lPwq i✓ J CONTRACTOR NAME: p L) &j CONTRACTOR ADDRESS: STREET c CITY .5pt w,rs STATE �/Q ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: ,ude45o,v a e/- 1,e �e p` CONTRACTOR LIC.#(REQUIRED): g A)i__ CITY OF EVERETT BUSINESS LIC.#(REQUIRED):p L PRIMARY CONTACT: ❑ OWNER X CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: �y CONTACT PHONE: L/Z 9_-3J Y- �1/ c!j' AA k. A-�Jc,QeA5c,r CONTACT EMAIL: -e-ls�J AGREEMENT: T hereby certifj 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 1 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 PERMIT# E Owner/Authorized Agent Signature Date (Revised 10/12/2015)