7014 COLBY AVE 2019-01-28 - Laserfiche WebLink

Oreir !LECTRICAL 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 I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 40!1/ O1-0 y BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: ' SFR-DETACHED 0 SFR-ATTACHED- 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ECT ICAL APPLICATION INFORMATION CONTRACT PRICE OF WOR $ end• NUMBER OF DEVICES (if lo voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 'IVO VOLT ti4cAT pump w ps to AseCT CONTACT INFORMATION OWNER NAME: IMO y Al 1)YOS TENANT NAME(If Commercial): OWNER MAILING ADDRESS: S+ctry f CITY STATE ZIP OWNER PHONE: 415/553-4'5( OWNER EMAIL: t1� CONTRACTOR NAME: P444 6Nv&6?4 / Til/ CONTRACTOR ADDRESS: I TOirditEr -r;1t. jell ivIg I Ard.F.H'M , W/'� STATE iti+ ZIP 90 C CONTRACTOR PHONE: W641/4 . /`�1r799 p/��C-ONTRACTOREMAIL: ��, CONTRACTOR LIC.#(REQUIRED): 1+y Y-tru�+f✓L t"I 2+J p CITY OF EVERETT BUSINESS LIC.#(REQUI ED): Skj PRIMARY CONTACT: 0 OWNER P.CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME:- CONTACT PHONE: a ob, 9,. "4 7 97 41,M (.1 221 CONTACT EMAIL: 17' e 77,t4 4,6 7i?j/ 60111 AGREEMENT:!hereby certify that!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 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# -i; co11 �),3- E «- co -- l cc, Owner • . 't' zed Agent gnature Date (Revised 9/23/2016)