3125 COLBY AVE DR EGGENBERGER 2019-01-28

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov www.everettwa.gov/permits -1Z1 � r....i;�,. PROJECT ADDRESS: 3125 COLBY AVE SUITE D, EVERETT, WA 98201 BUILDING AREA(if residential, new construction, remodel,or addition)2000— SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: I COMMERCIAL USE OF BUILDING: DENTAL OFFICE CONTRACT PRICE OF WORK: $ 6529.00 NUMBER OF DEVICES(if low voltage): 3 FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 32 LOW VOLTAGE DATA RUNS & 3 WIRELESS ACCESS POINTS OWNER NAME: HEATHER EGGENBERGER TENANT NAME(If Commercial): COLBY PACIFIC FAMILY DENTISRY OWNER MAILING ADDRESS: STREET 3125 COLBY AVENUE SUITE D CITY EVERETT STATE WA ZIP 98201 OWNER PHONE: (425)259-4156 OWNER EMAIL: HEATHERCUNNINGTON@GMAIL.COM CONTRACTOR NAME: WILDCARD LLC CONTRACTOR ADDRESS: STREET 12609 BEACON AVE S cin. SEATTLE STATE WA ZIP 98178 CONTRACTOR PHONE: 206-402-4105 CONTRACTOR EMAIL: ANDY@WILDCARDNW.COM CONTRACTOR LIC.#(REQUIRED): WILDCL*847C4 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): SEE ATTACHED PRIMARY CONTACT: ®OWNER ❑CONTRACTOR ❑OTHER(Please Specify) W AVM CONTACT NAME: CONTACT PHONE: 206-402-4105 ANDREW TAYLOR CONTACT EMAIL:ANDY@WILDCARDNW.COM AGREEMENT..I hereby certify that I have read and examined this application and know the same to 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 performance of construction. That/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 Official Use Only PERMIT# 11 /27/17 Owner/Authorized Agent Signature Date (Revised 9/23/2016)