8102 LARIMER RD 2017-01-13 - Laserfiche WebLink

�� p��r �� 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 , PRO�[�C`C SO'f'� O�FORY�4iA`i'10� PROJECT ADDRESS: j G'Z ,�� J1•� C R I�JL� L.J - 2L �� BUILDING AREA (if residential, new construction, remodel, or addition) SF BUILDiNG TYPE: � SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: ❑ COMMERCIAL USE OF BUILDING: C S� 7� �( C L EL�CTRI�AI� APPLICe�7'o0� I��ORiYi�TlO�d CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑ YES ❑ NO ASSOCIATED BUiLDING PERMIT # (if applicable): DESCRIPTION OF WORK: C��G i R��.�t� ,�-a5 P� C�-G-o� �s t MRS ( ,�5 R� G. v=yR-c: p 3� V L� 'Li � v � C C Cil\) N C=G 1 G'� ;v -(7 P� W� CL C-,T�v � -(Lp ;�t U i TC,1 t`� {� C L� � G -F v S c - :- - CONTACT INFORMATION " OWNER NAME: •,�./(J �'�, j� 7ENANT NAME (If Commerciai): OWNER MAILING ADDRESS: srReEr —y O Z �Z, 3� L- S- i� CITY /„ L, k_ [�Cz�Z. STA7E ZIP �� CS �"'` � OWNER PHONE: �-12 5' Z�5 ' � I S�j OWNER EMAIL: ....._...:_. ,_....,-,.- ,_...,._..__.,.__. �_.�..,�.., �.:.._.. ._,�,.,�_......_...,.�........_...�::......_.._..:-_.... ._..�.:...�,,:.._.....��.._. ..._..._._�.,_,.... .:_�.--_. CONTRACTOR NAME: ((J �� CONTRACTOR ADDRESS: sTREer CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC. #(REQUIRED): CITY OF EVERETT BUSINESS l.iC. #(REQUIRED): PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR � OTHER (Please Specify) I�`' S'3 f1^�� c�= c w �c�'r'` CONTACT NAME: CONTACT PHONE: 2 �� Z �� -_ 5 G�` 3 ��(�� GjGU(.� CONTACTEMAIL: `-� ��.,hl< � ;��(-�,:,G _ C�o/t'� AGREEMENT.' T here6y ceriify that 1 have read and examined this application and know the same fo be frue and correct Al! provisions oflaws and ordinances goveming this type of v✓ork will be completed whether specified herein o� not. The g�anting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local !av✓ regulating construction or the peiformance of construction. That l am authorized by the ov✓ner of this property to perform the work for which applicafion is made and ! comply with the State Contractors Law 98.27 RCW and 296.200 WAC. � � �y� . �GG 1 � Owner/Autfiorized Agent Signature U-��I�2�1� Date Cify of Everett Official Use Only FEE �� PERMIT # �j�(D--[�`� (Revised 10/12/2015)