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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 I www.everettwa.gov/permits <br /> PROJEc! 5� AI� RMAT!oN <br /> PROJECT ADDRESS: 6805 Morgan Rd #B <br /> BUILDING AREA(if residential,new construction,remodel,or'addition) {~' <br /> BUILDING TYPE: 0 SFR-DETACHED el SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS'. 0 COMMERCIAL <br /> USE OF BUILDING: Residential <br /> ELECT I:tC ATicimi INS <br /> • <br /> CONTRACT PRICE OF WORK: $ 500.00 <br /> NUMBER OF DEVICES-(If low voltage): 1 <br /> FIRE ALARM? ID YES EI NO <br /> ASSOCIATED BUILDING PERMIT <br /> DESCRIPTION OF WORK: Like for Like furnace replacement ? , jv..,tf\Q- '^ <br /> CONTACT INFORMATION <br /> OWNER NAME:George Lin TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS; STREET 6805 Moroan Rd #B <br /> ciTv Everett _ STATE WA ZIP 98203 <br /> OWNER PHONE 253-353-4722 OWNER EMAIL Gtlin( colcast.net <br /> CONTRACTOR NAME: Bob's Heating &Air Conditioning <br /> CONTRACTOR ADDRESS: STREET 14148 NE 190th St <br /> or,Woodinville STATE WA zip 98072 <br /> CONTRACTOR PHONE: 800-840-3346 ?CONTRACTOR EMAIL: echau@bobsheating.com <br /> CONTRAcTOI' LIC.#{QUIRE :, BOBSHHA85ONJ CITY OF EVERETT BUSINESS LIC,ttiREQuffzetv 054967 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: :CONTACT PHONE: 206-378-6719 <br /> Shelby Pike CONTACT EMAIL:s•ike •ibobsheatin .com <br /> AGREEMENT:l 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 <br /> 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 end t <br /> comply with the State Contractors Law 18.27 RCW and 296,200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 6 -2 1 E MOS Cod, <br /> Owne el =. Agent Signature Date (Revised 9/23/2016} <br />