3601 COLBY AVE 2018-02-01 - Laserfiche WebLink

� • ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECTADDRESS: 3GO� COItJ 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: �ffICE 8r@a ELECTRICAL APPLICATION INFORMATION CONTRACI' PRICE OF WORK: $ 850.00 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT# if applicable : DESCRIPTION OF WORK: EI@CtflCal fOf Slplt Uf11t 30A 240V CONTACT INFORMATION OWNER NAME:Df. Allly NOfCTlatl TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTReeT 3601 Colby Ave. �,�. Everett STATE �NA Z,P 98201 OWNER PHONE: 206-6O�J-973O OWNER EMAIL: coNTwacTOR N,aMe: Rhema Electric LLC CONTRACTORADDRESS: sTReEr628 S. Spruce St. �,n Burlington STATE WA z,P 98233 CONTRACTOR PHONE: 3GO-4�6-HZZ7 CONTRACTOR EMAIL: daV@a C�i CF12I'T1a2I2CtfIC.CORI coNTwacroR uc.#�REQu�REo�: RHEMAEL940DH CITY OF EVERETT BUSINESS LIC.#(REQUIRED):457H3 PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360-3Q�-�$$4 Dave Alaniz coNT,acT EMai�:davea@rhemaelectric.com AGREEMENT:I heieby certify that 1 have read and examined this application and know the same to be true and correct. A/l provisions of/aws and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit does not p�esume to give authority to vio/afe or cancel the provisions of any other state or loca/law regulating construction or the performance of construction. That I am authorized by the owner of this property to pertorm the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. � City of Everett Official Use Only PERMIT# o S�� ? n-� �7 E �� l CJ `�' � � O ner/Authorized Agent Signature ate (Revised 9/23/2016)