4704 DARLINGTON LN 2016-08-03 - Laserfiche WebLink

'PLECTRICAL PERMIT APRICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 FAX 425-257-8857 (E)everetteps@everettwa.gov www.everettwa.gov/permits PROJECT ADDRESS: 61 Dywl,�nl f m t vt BUILDING AREA(if residential,new constructio ,remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: CONTRACT PRICE OF WORK: $ DU`�,-" NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES O ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: — y o 4v ,*,_ e OV c2cl f"� t V r y t7 b aG i- Zua 4 A .,,.c. OWNER NAME: �'qp� r4 Ca% TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 7 Ij to CITY l� STATE UJA ZIP lj Gri/V OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: M µ.4 .5 h �-• CONTRACTOR ADDRESS: STREET IV et a-- S //e `J CITY ca STATE FiyJ ZIP CONTRACTOR PHONE: Z06-s 7/- 417U 1CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): 15u N e r 5; 0 5__ Dj CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑OWNER ONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Z4015_.`5 7'J -' 7 q ILCONTACT EMAIL: v�L S' $� r�� • Gd Aj AGREEMENT.T hereby certify that I have resdand examinedahis application and know the same t4 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 doe f,not pre'ume 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/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Oficial Use Only FEE n n� 01D PERMIT# Own Autho d Agent Signature ate (Revised 10/12/2015)