1625 COLBY AVE 2019-03-14 - Laserfiche WebLink

&ECTRICAL PERMIT APPLICATION opHoovir,..,.,..._ Nitgiri CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov J www.everettwa.gov/permits PROJECT SITE INFORMATION iI '` PROJECT ADDRESS: I ZS' Got 6\,y IV evuC2 \0,i.A W20 BUILDING AREA(if residential,new construction,remodel,or addition) 17CO0 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED XDUPLEX 0 MULTI-FAMILY-#OF UNITS: 2- 0 COMMERCIAL USE OF BUILDING: D' )Q\\1Y1C VA ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 10,©00 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES DINO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 'g V Y' 000 J619- ( ' C_o k- • CONTACT INFORMATION.`. OWNER NAME: .32SS - r hpV) y) TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1(03 Ccb\f i VE JJ CIN 6 ._\I C `1 STATE ki�)1"1 ZIP A 1-Df<-01 OWNER PHONE: 6 \Yl LtOWNER EMAIL: CONTRACTOR,NAME: M )V�lr.� -E ,. ... . CONTRACTOR ADDRESS: STREET r`cC.'O 1VIAOSkYy S-- p 'ICITY EAVf-��-11 STATE V-) GO 1-)1) ZIP 1c3 CONTRACTOR PHONE�4') L cCSC{\`3333 CONTRACTOR EMAIL: C?`r-GO 1`)1)Nc_v) G)G,111 0c.ovli CONTRACTOR LIC.#(REQUIRED): AII\;C l\)A '� 71<1 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): I.775 PRIMARY CONTACT: El OWNER Az CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (42.6..) S I g ^:-.706106 _i_.OpNiC- 1� v iCV) CONTACT EMAIL: �0V G P-41 Ne_ )�52 fAw) oC OV,`1 AGREEMENT:T 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 I am authorized by the owner of this properly to perform the work for which application is made and! comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE • 4k 1oO, � PERMIT# 7t...../P ,____\_\ G/ g.aig E I Owner/ uthorized Agent Signature Date (Revised 10/12/2015)