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ELECTRICAL PERMIT APPLICATION <br /> !�✓1 ;-,- CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 {(E)everetteps©everettvwa.gov www.everettwa.gov/permits <br /> a .,. enc <br /> PROJECT ADDRESS: 3802 COLBY AVENUE <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: DENTIST <br /> RL L ICATI ���� 4 I w 1, ;. <br /> ,,...,.��.. a _ 8564 �£ s _ '� <br /> CONTRACT PRICE OF WORK:$ 1000 <br /> NUMBER OF DEVICES Vim voltage): 1 <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: INSTALL(1)208V 40A CIRCUIT FOR A COMPRESSOR. <br /> CNTACit,ANA- , ��- -«�x2 • <br /> �.... .... .,.:� ,���M ��tz,•,.a..,.�. ._, <br /> OWNER NAME:ALISA TENANT NAME(If Commercial): ALL SMILES NORTHWEST <br /> OWNER MAILING ADDRESS: STREET 3802 COLBY AVENUE <br /> ary EVERETT STATE WA zip 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: VELA ELECTRIC <br /> CONTRACTOR ADDRESS: siREEr 3950 HAMMER DRIVE <br /> cm, BELLINGHAM STATE WA zia 98226 <br /> CONTRACTOR PHONE: (360)325-2508 CONTRACTOR EMAIL: ALEX.KILDALL@VECA.COM <br /> CONTRACTOR LIC #(REQUIREDVECAECI542MU CITY OF EVERETT BUSINESS LIC #(REQUIRED)• 004945 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: (206)743-5093 <br /> RYAN DOSSMAN CONTACT EMAIL:RYAN.DOSSMAN@VECA.COM <br /> AGREEMENT:thereby certify that!have read end examined this application end know the same to be true and correct All provisions of laws and ordinances governing this type <br /> of work wilt be completed whether specified herein or not. The granting of a permit does not presume to glee authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That!em authorized by the owner of this property to perform the work for which application is made end <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> Oily of Everett Official Use Onty <br /> PERMIT# <br /> 5/4/1/ E \%03 - 0 <br /> Owner/Authorized <br /> %o3 - 0Owner/Authorized Agent Signature Date (Revised 9!2312016) <br />