1207 COLBY AVE 2018-04-17 - Laserfiche WebLink

ECTRICAL PERMIT AF ICATION 00/111104. .---1CITY 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 PROJECTSITE'INFORMATION ,, ROJECT ADDRESS: {2� CL-c j Q yn�A 92-Z)1 .4i BUILDING AREA(if residential, new construction,remodel,or addition) 1112. SF BUILDING TYPE: SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: G At,AcE/' 6`p (i.,c52t-r2') ( )'3 r11-) ELECTRICAL APPLICATION INFORMATION- CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): l LoD SCRIPTION OF WORK: A 'gTirf£L, SAAW ),- y Yf\h sas re v1 Is)is W\Iva,/R ✓gNINt Eq t-% yi V\Ait CONTACT INFORMATION WNER NAME: G Af2_,tt.? kE1 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 170•"1 CAS\_Fvf W2a3 CITY STATE ZIP OWNER PHONE: lap • 6\ ' D`1 OWNER EMAIL: V4004,7011,41, CIA4A)1,_, P.)1n4 CONTRACTOR NAME: OAA CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT:T 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE PERMIT# ° 04,AA, ►• Lt E UO 1 OCP Owner/Aithorized Agent Signature Date (Revised 10/12/2015)