4516 COLBY AVE 2019-01-28 - Laserfiche WebLink

ELECTRICAL PERMITPip LJCATION Iw►� CITY OF EVERETT PERMIT SERVICES, 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 [(E)everetteps@everettwa.gov I wvwv.everettvva.govipermits; PROJECT SITE INFORMATION PROJECT ADDRESS: 4516 Colby Ave BUILDINGAREA(if residential,new construction,remodel,or addition)` SF BUILDING TYPE: 21 SFR-DETACHED 0 SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Residential ELECTRICAL APPLISAT ON INFORMATION CONTRACT PRICE OF WORK:$ Tili t C-7 OC) NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Contractor has recommended inspection of electrical box for proposed remodel CONTACT INFOR111>( TION OWNER NAME:Julia Anderson TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 4516 Colby Ave clrr Everett STATE WA zie 98203 OWNER PHONE: 425-233-1.983 OWNER EMAIL:julia.anderson©comcast.net. CONTRACTOR NAME CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.•#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REOUIR€D): PRIMARY CONTACT: ®OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-233-1983 Julie Anderson CONTACT EMAIL:julia.anderson@comcast.net AGREEMENT I hereby:certifyythat 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 specked 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 I 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 wA City of Everett Official Use Only PERMIT# Owner uthorized Agent,Signature Elite • (Revised 3/23/2016)