727 COLBY AVE 2018-04-30 - Laserfiche WebLink

ECTRICAL PERMIT AP�ICATION 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 �� .�� `'-��. " � ��µ �� :r.�-� � ..,�.x�..�"�-.,�-'��a � 4.��. PROJECT SITEE��FORMATION �� �rt. ,,�� ,��„�� ,.;�.�,�� : PROJECT ADDRESS: '2 L d I �'j �-�J-e f 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: �1.Q 5 i��^"�--'� L \t �ir i y a£ 94� F F �✓ . k�t - O�4�' �!� _�' S �� '1 �. N -,H of: � , . , �, r CATI NFORM �.ION , � �..�,- ".� CONTRACT PRICE OF W 4 4$ '��, _ NUMBER OF DEVICE (if low voltage): FIRE ALARM? ❑YES ❑NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: �0 t� < ✓��'1'�O V{ GrM UL YC�7ri- �- �rg �o a�'tt s/e T�+' SU G k�f" f a,✓a � H+ 5 � �� t1 vc� t�so `s ,, 1�o �vi.d e ��P � �I vew�✓ - CONTACT INFORMATIQN � � �� �.�. ;� �� OWNER NAME: � �,Q,Y �� 1� ! TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srReeT �Z-�I (,0� YJ /4-`/-e.. CITY �"e�'e-� STATE � ZIP R Q L`� OWNER PHONE: LULS '��N'(}I 2 OWNER EMAIL: '�" L-`✓ Gln,i � f � CONTRACTOR NAME: �GJ i1l.l,l� CONTRACTOR ADDRESS: srReeT CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: • CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT.�1 hereby certify that 1 have read and examined this application and know the same fo 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 pertormance of construction. That I am authorized by the owner of this property to perform the work for which applicafion is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WqC. City of Everett Official Use Only PERMIT# � ru�Zd� E ��--�� - 20 � O nedAuthorized Agent Signature Date � (Revised 9/23/2016)