3501 COLBY AVE 2019-08-07 - Laserfiche WebLink

OLT ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 FAX 425-257-8857 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3501 Colby Ave Everett, WA 98201-4794 BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ® COMMERCIAL USE OF BUILDING: Condo/Office ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 1,200 NUMBER OF DEVICES (if low voltage): 0 FIRE ALARM? 0 YES m NO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: Adding lights to New Canopy -Adding (1) 20 AMP Branch Circuits Adding (4) HYKOLITY 45w Canopy Light (Part#- HY-45WCANOPY) Adding Intermatic ET1115C Electronic Time Switch CONTACT INFORMATION OWNER NAME: Lee White TENANT NAME(If Commercial): Grenwich Building OWNER MAILING ADDRESS: STREET 3501 Colby Ave c,n Everett STATE WA ZIP 98201 OWNER PHONE: 425-2144742 OWNER EMAIL: leewhite3@gmail.com CONTRACTOR NAME: Rainier Industries CONTRACTOR ADDRESS: STREET 18375 Olympic Ave S CITY Tukwila STATE WA ZIP 98201 CONTRACTOR PHONE: 206-701-1952 CONTRACTOR EMAIL: dOnnlem@ralnler.COm CONTRACTOR LIC.#(REQUIRED): RAINIIL948QF CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 023736 PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-981-1233 Donnie Mitzelfelt- Electrical Admin CONTACT EMAIL: donniem@ralnier.com 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 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 PERMIT# 1/0i E MCD - 21DS Owner/Au orized Agent Signature Date (Revised 9/23/2016)