6208 LARIMER RD 2025-01-23 - Laserfiche WebLink

!LECTRCAL PERMIT A LICAT ON E27 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 IPROJIECT SITE IIMF®I\I Til©N PROJECT ADDRESS: ift G,.2. 0 S L.rt'Vti fx Rol S E BUILDING AREA(if residential,new construction,remodel, or addition) ' 8 9.S SF BUILDING TYPE: ❑ SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: [ELECTRICAL APPiLEICCATiIOGv�I IIFORMATIIOIf� CONTRACT PRICE OF WORK: $ (:)9 0 DO , 0 ....- NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: , Re. (wV, -c.:(t (ect-Y-L C,-t,� CONTACT IMF*i`.MATIO9 OWNER NAME: 4-4 A N J TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET b- I • q+1,1 1 J .5 CITY I ,e• c \y.a.,* STATE iA, ZIP I . OWNER PHONE: a rJ-� L+ Z Li GO OWNER EMAIL: 'YI.1/t,v- SO e. ,,,,, ,/4 iCONTRACTOR NAME: A CONTRACTOR ADDRESS: STREET CITY STATE ZIP i CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: _—I 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/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 RC W and 296.200 WAG. City of Everett Official Use Only FEE 15 , PERMIT# 06/2-7 16 A E ./J t et -bt1 Owner/Authorized Agent Signature Date (Revised 10/12/2015)