5905 LARIMER RD 2018-07-18 - Laserfiche WebLink

iopp._ _ taEC`t' 1CAL PERMIT AP13LICATION vitilCITY 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: S/0 5- C.0rirv1t°1r b Fliere i9 t BUILDING AREA(if residential,new construction, remodel, or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ $®0 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: ii.1 St '/% f/vein 4.4/ `EC3: 5)/IL (AAA 1- htC CONTACT.:INFORMATION. OWNER NAME: 44,1k.e i yr'r TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3 7 05 to is e f Z6 y,+ CITY E-t)e r`e r STATE kjLlt ZIP free, OWNER PHONE: pp�� f OWNER EMAIL:p / 1 CONTRACTOR NAME: 13 I tSky.. .Vie thii Cd I '.. Ccr.thraGh{n%a1 cow/ 1/e5 f l iv.. , . . .. CONTRACTOR ADDRESS: STREET }2�2o T cedar jZ'..]) ,, (� cITY Lie S i CVVv 7 STATE CAIN_ ZIP Cik2�J CONTRACTOR PHONE: CGU 91/ CO`1 CONTRACTOR EMAIL: bit,Wcy t I cfrt C vv �`via/l r 14 CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(RE8UIRED): OO PRIMARY CONTACT: 0 OWNER CGONTRACTOR 0 OTHER(Please Specify) CONTACT�y �N{AME: CONTACT PHONE: 3 60 q ()oil 04 to Ce (t,ij1 CONTACT EMAIL: AA a.te, Wax 5 ley of ct'r 4'GIti (y V� Yi/tom 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 lam 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 FEE fb411% / / PERMIT# di or..fr E nbto- t6i, co a ....... ,,,,__ ",. ......_ 6 hi 1 i-7 _ Owner/Authorized Agent Signature Date (Revised 10/12/2015)