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2822 COLBY AVE 2019-08-07
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2822 COLBY AVE 2019-08-07
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8/7/2019 11:42:41 AM
Creation date
8/7/2019 11:42:40 AM
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Address Document
Street Name
COLBY AVE
Street Number
2822
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4477 !LECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 2822 Colby Ave Everett, WA 98201 <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: El COMMERCIAL <br /> USE OF BUILDING: Office Building <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 7500 <br /> NUMBER OF DEVICES(if low voltage): 14 <br /> FIRE ALARM? m YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Elevator Recall Modernization with a Stand Alone Elevator Recall Panel <br /> eD( <br /> - CONTACT INFORMATION <br /> OWNER NAME: Skotdal Real Estate TENANT NAME(If Commercial): Skotdal <br /> OWNER MAILING ADDRESS: STREET 2707 Colby Ave <br /> c,T,. Everett STATE WA ZIP 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Cosco Fire Protection <br /> CONTRACTOR ADDRESS: STREET 4308 S. 131st Pl. <br /> CITY Tukwila STATE WA ZIP 98168 <br /> CONTRACTOR PHONE: 206-438-3360 CONTRACTOR EMAIL: Mdewaard@coscofire.com <br /> CONTRACTOR LIC.#(REQUIRED): COSCOFP935MS CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 024164 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206_556;02612i 02,7,+ <br /> Michael DeWaard CONTACT EMAIL: mdewaard@coscofire.com <br /> AGREEMENT:I 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 <br /> 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 <br /> 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 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> E g69 <br /> •mer/ , y.c ±ent Signature Date (Revised 9/23/2016) <br /> 1 i , <br />
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