113 FOREST CT 2019-02-06 - Laserfiche WebLink

°°1111111°' ELECTRICAL PERMIT APPLICATION I a CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 FAX 425-257-8857 1(E)everetteps@everettwa.gov I wwwweverettwa.govJpermits .. .,... PROJECT'SITE INFORMATION 7z 4I,` k, , PROJECT ADDRESS: 113 Forest Ct BUILDING AREA(if residential,new construction,remodel,or addition)1022 SF BUILDING TYPE: Eil SFR-DETACHED. a SPA-ATTACHED 0.DUPLEX D MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Residential . . � ELEC'f RICAL APPLICATI'CN.INFORmAt tr , CONTRACT PRICE OF WORK:$ 500 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if.applicable): DESCRIPTION OF WORK: heat pump install ?.;7:-.::--: ::',--<'-'-'-' ," CONTACT INFOitMATION " OWNER NAME:Arlene Dugan TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sir 113 Forest Ct ca.(Everett STATE WA zip 98203 OWNER PHONE:425-259-5974 OWNER EMAIL:maiy.arlene.dugan@frontier.com CONTRACTOR NAME:All Climate Inc CONTRACTOR ADDRESS: sTREET 17527 NE 67th Ct CRY Redmond STATE WA zip 98052 CONTRACTOR PHONE:425 746-3077 CONTRACTOR EMAIL: install@aliciimate.net CONTRACTOR LIC,#(REQUIRED): ALLCLCH966C6 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):040122 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4.25-746-3077 Breann Simpson CONTACT EMAIL:install@ailclimate,net AGREEMENT:t hereby seri*thattbave read end examined this application.and know the same to be tale and coned.Alt provisions of lam and ordinances governing this type of work wi11 be whether speciffad herein or not The granting orepennit does not presume to give atithorityta violate of cancel the provisions of any other state or local tawreguiating cs stnrotion or the perinene of`const construction. That am authorized by the owner of this property to preform the work for which application's made and comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT -''''\„. V ArN.ti-----..-'' p i 6 I 1 ‘ b E 1SO° _ooI Owne •uthorized Agent St:nature Date (Revised 9123!2016)