3125 COLBY AVE FIRST BAPTIST CHURCH 2019-12-31

Dec 20 16 11:54p Boyer Electric Co 206 063674575 p.1 4E77- • ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P) 425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa_gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3125 Colby Ave BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED ❑ SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ® COMMERCIAL USE OF BUILDING: Church Office Building ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 2,800 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES ❑NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Check out service and lock out/tag out feeders due to fire to restore service CONTACT INFORMATION OWNER NAME: First Baptist Church TENANT NAME(If Commercial): First Baptist Church OWNER MAILING ADDRESS: STREET 3125 Colby Ave cm Everett STATE WA zip 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Boyer Electric Company Inc CONTRACTOR ADDRESS: STREET 8119 240th St SW Suite A Edmonds STATE WA ZIP 98026 CONTRACTOR PHONE: 206 367-7606 CONTRACTOR EMAIL: karen@boyerelectric.com CONTRACTOR LIC.#(REQUIRED): BOYEREC101 LE CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 22147 PRIMARY CONTACT: Q OWNER 0 CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206 367-7606 Scott Boyer CONTACT EMAIL: scott@boyerelectric.com AGREEMENT:!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# arA9M111� ' E1 U12' 11--r) O ner!•%Mgr S r. at' e Date (Revised 923/2016)