2722 COLBY AVE RAINIER TITLE 2019-03-25

�" LLECTRICAL PERMIT ICATION moatm 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 2:7 2.Z C o a g A e. BUILDING AREA(if residential,new construction,remodel,or addition) SF KOMMERCIAL BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: USE OF BUILDING: O Fit ce f,,.to tt- j i-I-le ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 7,60 NUMBER OF DEVICES(if low voltage): N/A FIRE ALARM? 0 YES NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: RQ, vJD-rk I ttq Lf. ) Sv✓i e S -I rec p J i cz nese r or -re/1 ow, . l - CONTACT INFORMATION. OWNER NAME: TENANT NAME(If Commercial): RcAA �ex Y/ OWNER MAILING ADDRESS: STREET CIN STATE ZIP OWNER PHONE: r //?� OWNER EMAIL: ,/f/f CONTRACTOR NAME: CO�/h .ffi a•l t i s 94,rr ran ,./ . I I / '/GTT. CONTRACTOR ADDRESS: STREET /5-6 d'/f/)G J G A,/e e a ,/��w CIN 5� (S STATE W ' + ZIP 922 90 CONTRACTOR PHONE: 3670 Tee 3 6,70.6' CONTRACTOR EMAIL: ,vt 5O t'-M aill 0 CP/144W . 66-w CONTRACTOR LIC.#(REQUIRED):r`'o/YNY1F� 3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 2.-7 7 PRIMARY CONTACT: 0 OWNER XCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4/2 7 0 G / WI a-rk SNAltlard CONTACT EMAIL: /44,5 d(„4„ j J e. c P/vi r ,A1 , (,/v\ .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 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 FEE /\2'r PERMIT# fy-f y E 1 -- t 0;/er/Authorized en Signature Date (Revised 10/12/2015)