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OLT 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 I (E) everetteps@everettwa.gov www.everettwa.gov/permits <br /> PROJECT ADDRESS:7508 Juniper Dr <br /> BUILDING AREA(if residential, new construction, remodel,or addition) SF <br /> BUILDING TYPE: ['SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX ❑MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> Ci t**i*ttdA' iii* ti*ako <br /> CONTRACT PRICE OF WORK:$1000 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 2 circuits fore heat pump and air handler <br /> • INFORIV ATION " K <br /> OWNER NAME: Donald Lutz TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTREET7508 Juniper Dr <br /> CITY Everett STATE WA zip 98203 <br /> OWNER PHONE:(425)355-6557 OWNER EMAIL:dOn.lutz@msn.Com <br /> CONTRACTOR NAME:Washington Energy Services <br /> CONTRACTOR ADDRESS: STREET 3909 196th St SW <br /> c„Y 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 ✓❑CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-378-6648 <br /> Nikki Hyett-Schnell 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 /> C9 <br /> 12/12/18 E 5 <br /> wner/Auth.'r•d Agent Signature Date (Revised 10/12/2015) <br />