4204 COLBY AVE 2018-05-01 - Laserfiche WebLink

�LECTRICAL PERMIT A�LICATI ON 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 ADDRESS: 4204 COII��/AV@ BUILDING AREA(if residential, new construction,remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED � DUPLEX ❑MULTI-FAMILY-#OF UNITS: m COMMERCIAL USE OF BUILDING: LaW OffIC@ .g.. `g .:�. -. CONTRACT PRICE OF WORK: $ 400 NUMBER OF DEVICES if low volta e : � FIRE ALARM? ❑YES �NO ASSOCIATED BUILDING PERMIT# if a licable : DESCRIPTION OF WORK: Install one low voltage thermostat. OWNER NAME: RIChB�d & D011t1a Adl@P TENANT NAME If Commercial): Adler-Giersch OWNER MAILING ADDRESS: STREET 333 Taylor Ave N �m. Seattle STATE WA ziP 98109 OWNER PHONE: 206-682-0300 OWNER EMAIL: CONTRACTOR NAME: Universal Mechanical Service CONTRACTOR ADDRESS: STREET PO Box 2649 �,,., Redmond STATE �NA ZiP 98073 CONTRACTOR PHONE: 425-885-9100 CONTRACTOR EMAIL: heath@unimec.com CONTRACTOR UC.#(REQUIRED): UNIVEMSO'I4KQ CITY OF EVERETT BUSINESS LIC.#�REQuiRE : 021363 PRIMARY CONTACT: _ ❑OWNER� �I�1 CONTRACTOR ❑OTHER(Please Specify) � � �� CONTACT NAME: CONTACT PHONE: 425-885-9100 Heath Hutchens coNTacT ennai�: heath@unimec.com AGREEMENT.•I hereby certify that/have read and examined this application and know the same to be true and correct. All provisions of/aws and ordinances governing this fype of work will be comp/eted whether specified herein or not. The granting of a permit does not presume to give authoriry to vio/ate or cance/the provisions of any other state or /oca/law regu/ating 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 l comp/y with the State Contractors Law 18.27 RCW and 296:200 WAC. City of Everett Officia/Use On/y PERMIT# � E �"�-�� 0�5 Ow Authorized Agent Signature ate (Revised 9/23/2016)