2806 LARLIN DR 2016-08-08 - Laserfiche WebLink

04/11/2016 MON 16215 FAX 4252521666 CM Heating 1003/003 fLECTRICAL PERMIT ARLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 FAX 425-2578657 1 (F-) everetteps@everettwa.gov www.everettwa.gov/permits EC 3�TE I FOR1T101 , , f.Jr�s�>; -> � �, ru�� ,,3 ,r„ .,�•, � R'QJ PROJECT ADDRESS: BUILDING AREA(If residential, now constructio , remodol, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED Al/6-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY #OF UNITS' ❑COMMERCIAL USE OF BUILDING: APPS 1ININFORMdT�ON CONTRACT PRICE OF WORK: $ 'C>Q NUMBER OF DEVICES if low voltage): FIRE ALARM? ❑ YES ❑ NO ASSOCIATED BUILDING PERMIT# If applicable): DESCRIPTION OF WORK: CONTACT INI=ORMATION OWNER NAME: TENANT NAME If Commercial)! OWNER MAILING ADDRESS: ssaeeT 2.. CITY STATE T OWNERPHONE: OWNER EMAIL., CONTRACTOR NAME: — Vf CONTRACTOR ADDRESS: 3iREET CITY STATE A ZIP CONTRACTOR PHONE: `t70;-60 �1CONTRACTOR EMAIL: ( 'V(i CONTRACTOR LIC,#(REQUIRED): 1CITY OF EVERETT BUSINESS LIC.#(REQUIRED): f PRIMARY CONTACT: ❑ OWNER CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: (� CONTACT PHONE: b &)� k9aT7 v' CONTACT EMAIL: 1f Cory, AGREEMENT:T hereby certify that/have read and examined this appl/cation and know the same lobe hue and correct. All provislons orlaws and ord/nances governing this type or work will be completed whether spoclflad heroin or not, The granting of a perm!(does not presume tc give author✓ty to violate or canco)the prov/sions o/any other state or loael 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 Sfefe Contractors Law 16.27 RCW and 296.200 WAC. Clty of Everest Offlofal Use Unly FEE PERMIT# OwnarfAuthorized Apent Slpneturo Date (Revised 10/12/2015)