4626 DARLINGTON LN 2017-11-28 - Laserfiche WebLink

• • 0*-7-7 ELECTRICAL PERMIT APPLICATION 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 PROJECT SITE INFORMATION PROJECT ADDRESS: 4626 Darlington Lane, Everett, WA 98203 BUILDING AREA(if residential, new construction remodel, or addition) SF BUILDING TYPE: Ql SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: Primary Residence ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 4,641.00 NUMBER OF DEVICES (if low voltage): 1 FIRE ALARM? 0 YES m NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: T-Stat Like in Kind: Replace Heat Pump CONTACT INFORMATION OWNER NAME: John Hastings TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 4626 Darlington Lane CIN Everett STATE WA ZIP 98203 OWNER PHONE: 425-347-4626 OWNER EMAIL: CONTRACTOR NAME: Andgar Corporation CONTRACTOR ADDRESS: STREET 6920 Salashan Pkwy A-102 PO Box 2708 c Ferndale STATE WA ZIP 98248 CONTRACTOR PHONE: 360-366-9900 CONTRACTOR EMAIL: corporate@andgar.com CONTRACTOR LIC.#(REQUIRED): ANDGAC*011 L5 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 24869 PRIMARY CONTACT: 2 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360-366-9900 Marla Raske CONTACT EMAIL: corporate@andgar.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# Marla J Raske Digitally signedRaske by E Marla J Owner/Authorized Agent Signature Date (Revised 9/23/2016)