2015 COLBY AVE 2019-03-14 - Laserfiche WebLink

"IP ELECTRICAL PERMIT APPLICATION I 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 ADDRESS:• LS 1 iv e BUILDING AREA Of residential,new construction,remodel,or aaft31tto SF BUILDING TYPE:- ir SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: -,,,,I4. -, € ; 'e'er` , CONTRACT PRICE OF WORK: $ . NUMBER OF,DEVICES If low volta=e ; FIRE ALARM? 0 YES s' 0 ASSOCIATED BUILDING PERMIT# If am®1icable, DPS Rtt ;Lit .WC!E K:___...�. % OWNER NAME: Ilf1. MC o‘terri TENANT NAME(If CommeroIet): OWNER R MAILING ADDRESS: STREET Opt,tOy (�t 6. I slats q` 20 OWNER PHONE: Z 4 - 3 # OWNER EMAIL: CONTRACTOR NAME: Ai A..,, '..,. e CONTRACTOR;ADDRESS: STREET CITY(+ � . � STATE \_ ZIP �Zv CONTRACTOR PHONE:, •,,, r�, !'"S Ii; CONTRACTOR EMAIL: ',,B d' ', ' .a 'i 4it1C•0 r 8 $114 'CNT[ K' 0CTOR;LIC>#(t EOUJRE �rt 11da CITY OP EVER:t*TT BUSINESS LIC RECtUIREb PRIMARY CONTACT: 0 OWNER r� CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME; CONTACT PHONE: I , a5Gi D{ � L, I IQ CONTACT EMAIL , " t , i� &con) AGREEMENT:I hereby certify that have read and examined this application and know the same to be two 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 slate or local law regulating construction or the performance of construction. That f 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# 3 ..a •1g ' E �erz � n o3 013 Date (Revised 9/23/2016)