4631 COLBY AVE 2019-01-28 - Laserfiche WebLink

�--� ELECTRICAL PERMIT APPLICATION - CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT:SIITE'INFORMATION.; = .,• :: PROJECT ADDRESS: 4 'I Co i ' W "'unit BUILDING AREA(if residential,new construction,remodel,or addition) SOD b SF BUILDING TYPE: 0 SFR-DETACHED M SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: LECTRI AL/[PP:ICATI©N IN:FORMA110: . .:. . :. CONTRACT PRICE OF WORK: $ 41 NUMBER OF DEVICES(if low voltage): h /J 4 FIRE ALARM? ID YES Il(NO(f ASSOCIATED BUILDING PERMIT#(if applicable): V1 IR JI$1DESCRIPTION OF WORK: G e y ..:.... .: . . . ..:... .. .: .... : :.. . : CONTACT..INFORMATION' OWNER NAME: Peil P I fi TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 40 71 041,1 4%4' CITY f ri STATE V ZIP 1 h P7 OWNER PHONE: PI ' 11,-, Hi" OWNER EMAIL: IV/(I3 PY� I if le/ 1)14 II. CP1 CONTRACTOR NAME: >irkw f loisaf'f/ CONTRACTOR ADDRESS: STREET )Y 7° D• *F.-- CITY M A41 1 i v STATE /4/11 ZIP ) CONTRACTOR PHONE: 474.. 7.711.. 09W109W1°1• P7 CONTRACTOR EMAIL: 8elOYA/ J� f�;• CONTRACTOR LIC.#(REQUIRED):VAR fe CITY O1 EVERE�i BUSINESS LIC. REQUIRED:17711 Difb PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: � AlYkftvCONTACT EMAIL: . AGREEMENT.: hereby certify that I have read and examined this application and know the same to a trub and rrect. All provisions of laws and ordinances governing this type of work will be completed whether specified herein or not. The grantingof apermit does not resin togive authority P p 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 WAC.• City of Everett Official Use Only PERMIT# E i (hO�- O 1 wne AuthoriiL+d Agen Signature Da (Revised 9/23/2016)