4310 COLBY AVE 2017-10-18 - Laserfiche WebLink

RECTRICAL PERMIT APPCATION 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: 4310 COLBY AVE BUILDING AREA(if residential,new construction,remodel,or addition)0.55 SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Medical ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 1200 NUMBER OF DEVICES if low voltage): N/A FIRE ALARM? ❑YES ®NO ASSOCIATED BUILDING PERMIT# if applicable): 81608-081 DESCRIPTION OF WORK: Install power for two automated door(East and West side entrances of lobby) CONTACT INFORMATION OWNER NAME: PETERSEN AND HILDAHL LLC TENANT NAME(if Commercial): OWNER MAILING ADDRESS: STREET 2105 112th Ave NE, Suite 102 „Y Bellevue STATE WA zip 98004 OWNER PHONE: 2064993815 OWNER EMAIL: CONTRACTOR NAME: FATON ELECTRIC LLC CONTRACTOR ADDRESS: sTREET 17610 DAYTON AVE N Cir. SHORELINE STATE WA zip 98133 CONTRACTOR PHONE: 425.891.4060 CONTRACTOR EMAIL: NIYAZOV.IOSIF@GMAIL.COM p l CONTRACTOR LIC.#(REQUIRED): FATONEL874CL ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): " 2 PRIMARY CONTACT: ®OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206.499.3815 CHERYL Mclvor CONTACT EMAIL: AGREEMENT:I 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/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# I Owner/Auth ed A nt Si "re Date (Revised 9123/2016)