3501 COLBY AVE LIFELONG 2018-05-21

�LECTRICAL PERMIT PLICATION 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 � ' �Rp�� SIT� INFbRMATI�I�I` � � - � � .�-_. �. PROJECT ADDRESS: 3501 COIby AV2 EV@I'@tt, WA 98201 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Leased commercial office space ELECT�t1C/�;L�/�P�L��CATION INFflRM�'�IO�t� � �, '�4 `�` _�`r ' :;+1. ,i.� r.n'm ....Ga�;u+F4.::%�`+ CONTRACT PRICE OF WORK: $ 950 NUMBER OF DEVICES if low volta e : 3 T-stats. FIRE ALARM? ❑YES ❑NO ASSOCIATED BUILDING PERMIT# if a licable : DESCRIPTION OF WORK: Install 1 new T-stat; Relocate 2 existing T-stats. ., _ � - � �;,-: ". ; GONTACT-�NFO�tMAT10N ' �'' : OWNER NAME:�ames Company TENANT NAME(If Commercial): Lifelong OWNER MAILING ADDRESS: sraeer 154 Village Court Suite 100 c„-,, Monroe STp� WA ZiP 98201 OWNER PHONE: (425)269-3331 OWNER EMAIL: CONTRACTOR NAME: Pacific Air Control CONTRACTOR ADDRESS: s�EeT�916 220th St Ste. M 101 cin, Bothell STATE WA ZiP 98021 CONTRACTOR PHONE: �888)722-4822 CONTRACTOR EMAIL: LEOT@PACIFICAIRCONTROL.COM CONTRACTOR LIC.#(REQUIRED): PACIFAC230P8 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): �1347 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (206)512-9807 Leo Tereshchuk CONTACT EMAIL: leot@pacificaircontrol.com AGREEMENT.•1 hereby certify that/have read and examined this application and know the same to be true and conect. All provisions of/aws and ordinances goveming this type of work wil!be completed whether spec�ed herein or not. The granting of a permit does not presume to give authority to violate or cance/fhe provisions of any other state or /oca/law regulating construction or the performance of construction. That 1 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 Officia/Use Only PERMIT# Leo Tereshchuk 1 /23/18 E � g'�� -� -� � Owner/Authorized Agent Signature Date (Revised 9/23/2016)