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1806 HOYT AVE A 2019-09-23
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1806 HOYT AVE A 2019-09-23
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9/23/2019 2:13:02 PM
Creation date
9/23/2019 2:12:38 PM
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Address Document
Street Name
HOYT AVE
Street Number
1806
Unit
A
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477 ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:1806 Hoyt Ave <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑✓SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX El MULTI-FAMILY-#OF UNITS ❑ COMMERCIAL <br /> USE OF BUILDING: <br /> ELECT APPLi *? I ' M �IITION <br /> CONTRACT PRICE OF WORK: $630 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? D YES 0 NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable). <br /> DESCRIPTION OF WORK: 1 circuit fnr furnace <br /> CONTACT INFORMATION <br /> OWNER NAME: Kimberley Cline TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 1806 Hoyt Ave <br /> CITY Everett STATE WA zip 98201 <br /> OWNER PHONE:2O62900189 OWNER EMAIL:KimberleyCline@yahoo.com <br /> CONTRACTOR NAME:Washington Energy Services <br /> CONTRACTOR ADDRESS: STREET 3909 196th St SW <br /> CP Lynnwood STATE WA zip 98036 <br /> CONTRACTOR PHONE:206-378-6648 CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED):WASHIES854NG CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 054773 <br /> PRIMARY CONTACT: 0 OWNER 0✓ CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-378-6648 <br /> Nikki Hyett-sch nel l CONTACT EMAIL:NHyett-schnell@washingtonenergy.com <br /> 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 <br /> 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 <br /> 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 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> PERMIT# <br /> ij-19 WI( 10/18/2018 <br /> E ,S \ O - <br /> Owner/Auti-.rized Agent Signature Date (Revised 10/12/2015) <br />
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