1321 COLBY AVE TOWER 2019-08-07 - Laserfiche WebLink

CI At..� �:., Cie- ELECTRICAL � PERMIT APPLUCAT1L,.. CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (F)425-257-8810 ] FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE.INFORMATION PROJECT ADDRESS: 132 1 1 O(:..B 1' I -V5 10 t..v BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: D SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: • PPLI.CATIOIN',INFORMATION CONTRACT PRICE OF WORK:$ 15 21�5 NUMBER OF DEVICES if low vo ate): FIRE ALARM? DYES NO ASSOCIATED BUILDING PERMIT#( ble): DESCRIPTION OF WORK: ti 3 't1LL t...nt uGL--t-A-t,"'= 5ECl9r try . ,•ISrein 1ST PLoot. Sk € 141111112111111N rt-oak. OS 50e. P A 1:001/4.201-a. TOOLS 0).) Sk'b • Oln9'TA!C'�'�IIAI.��1Ri1��1T1�r��dl`:` ::;. ii OWNER NAME: PRS"i.DEIQc E f faNCAt CENTge TENANT NAME(If Commercial): OWNER MAILING ADDRESS: smear P a .BOK 1O( 7 - cm( E ERZ-rr STATE tA.)A 6 OWNER PHONE: w-34 I OWNER EMAIL: . CONTRACTOR NAME: ARoOt.: C—C:itFaI P (roup CONTRACTOR ADDRESS: STREET X00 OAZES,VAL E R d CITY P.. I J TON. STATE L&-)/ - ZIP CONTRACTOR PHONE: 2tc,- 5i- 355 3 CONTRACTOR EMAIL:AAL:Ai;7.Ok%SCPs AetNSOivSEC i CC T. CONTRACTOR LIC.#(REQUIRED):AR k SS C o 13 C CITY OF EVERETT BUSINESS UC.#(REQUIREr):C!3 I ri,S 7 L PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 2 OI - 4s- ( 14 I _. . l.- /4 cc iu sok) CONTACT EMAIL: PAX.ARO(J try.co* AGREEMENT:T hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of taws and ordinances governing this type of work will be completed whether specified herein or not The granting of a permit does not presuriie to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That t am authorized by the owner of this properly to perform the work for which application is made and i comply with the State Contractors Law 18.27 RDW and 296.200 WAC Cityof Everett Official Use Only FEE ` / ' �'` PERMIT# v`J , E g0� — IS"1•, O.wnerlAu horized Agent Signature Date (Revised 10/12/2015)