2628 COLBY AVE 2017-10-04 - Laserfiche WebLink

wpp- RECTRICAL PERMIT AP (CATION 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: 2628 Colby Ave Everett WA, 98201 BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: Chase Bank ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 220.00 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES m NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: Alter one 20 amp circuit to accommodate replacement of ATM. CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREET 2628 Colby Ave CITY Everett STATE WA z.. 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Sea-Tac Electric Inc. CONTRACTOR ADDRESS: STREET 7056 S, 220th Street CITY Kent STATE WA zia 98032 CONTRACTOR PHONE: 253-872-5553 CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): SEATAE1077RW CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 033037 PRIMARY CONTACT: ❑OWNER 17 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-713-6376 Stephen Bourdette CONTACT EMAIL: stephen.bourdette@seatacelectric.com AGREEMENT.1 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 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# Z-// E 1700- 083 Ow er/Au t orized Agent Signature Date (Revised 9/23/2016)