4124 COLBY AVE 2018-05-17 - Laserfiche WebLink

.ECTRICAL PERMIT AI LICATION 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 PROJECT ADDRESS: �'�Z CG� �� C��1 'C�"' � �� CI Z�� BUILDING AREA(if residential, new construction, remodel, or addition) �� G� SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: ,��%�i.t�.7 ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ �iG'�� NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES I�NO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: f'1 'Ic; "f'�Fr�`'�. ' �� CONTACT INFORMATION OWNER NAME: v •,.� ^jN �( .f E '�� TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTReer U� C-I� '�1 J� �� CITY v�� 1`�1 �� STATE ZIP � OWNER PHONE: Z�� ZC(3 r3�{� OWNER EMAIL: G� X z� �� ✓u��Y�-��•(( , (� CONTRACTOR NAME: � CONTRACTOR ADDRESS: sTReeT 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:T hereby certify thaf 1 have read and examined this application and know the same fo be true and correct. All provisions of/aws and ordinances governing this fype of work will be compleEed whether specified herern or not. The granting of a permit does not presume to give authorify to violate or cancel the provisions of any other sfate or /ocal law regulating construction or the performance of construction. That l am authorized by the owner of fhis property to perform the work fo�which applicatron is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. Cify of Everett Official Use Only FEE � - ..-. pb � �� PERMIT# -� � !� E �� Owner/Author Agent Signature Date (Revised 10/12/2015)