4124 COLBY AVE 2018-05-17 - Laserfiche WebLink

�LECTRICAL 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 � ��, 5� � ; �' �,` � ��_ ��' �PROJECT�SITE�INFORMA�TION � °� � '� �� .� ,, . ... , ,} ..,;..� W .� ,.-�, �.. . ..�., ;�� .... ,�r.. «�.t ..�,�., �..: .r...�}.. �.. ��., �, �� r�. � � � , ,. , � , �a..,... .. . ,�.< �. PROJECT ADDRESS: � 2 Co � U� l/(i I� � R 2b J • BUILDING AREA(if residential, new construction, remodel,or addition) '1 �,J SF BUILDING TYPE: ❑ SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-# F UNITS: ❑COMMERCIAL USE OF BUILDING: � � ` ` ` ` ELECTRICAL APPLICATION INFO IGIATION " ; �. �. �. ..� � _. . . .,__. ._. . ,_ _� _ _ _. CONTRACT PRICE OF WORK: $ �C)�. `� NUMBER OF DEVICES (if low volta e): FIRE ALARM? ❑YES ❑NO � ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: �' CON7'ACT INFORNIATION `� " _ " �: OWNER NAME: C� 'O � TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srReer � � � T� v` �� CITY ,�V�/�L( r STATE ZIP j�j L(J � OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: s eer CIIY 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.�I hereby certify that I have read and examined this application and know fhe same to be true and correct. All provisions of laws and ordinances governing this fype 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 /oca/law regulating construction or the performance of construction. That I am authorized by fhe owner of this property to pe�form the work for which application is made and I compty with the State Contractors Law 98.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# � ��Za [2ei�1 E� ��2�- ��5 Owner/Authorized Agent Signatur Date (Revised 9/23/2096)