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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 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PRS _�t* l RMA1 k <br /> '61 - <br /> .. _�. �k�u. Yt�.,, �„.:, . .., <br /> PROJECT ADDRESS: 11230 3rd Ave SE <br /> BUILDING AREA(if residential, new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0;SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0..COMMERCIAL. ..._ <br /> USE OF BUILDING: Residential <br /> ....r, aaIiet-RtV <br /> CONTRACT PRICE OF WORK:$ _500.00 <br /> NUMBER OF DEVICES Of low voltage). <br /> FIRE ALARM? D YES El NO <br /> ASSOCIATED BUILDING PERMIT# f.appl{ .1110): <br /> DESCRIPTION OF WORK: Adding a circuit for retrofit ac install <br /> OWNER NAME:Dianne Kinney TENANT NAME(If Commerciall: <br /> OWNER MAILING ADDRESS: STREET 11230 3rd Ave SE <br /> ciTr EverettSTATE zip 98208 <br /> WA <br /> OWNER PHONE 425-686-2444 ]OWNER EMAIL:Diannekatkinney( mail scorn <br /> CONTRACTOR NAME: Bob's Heating & Air Conditioning <br /> CONTRACTOR ADDRESS: STREET 14148 NE 190th St <br /> cTw Woodinville STATE WA ZAP 98072 CONTRACTOR PHONE:800-840-3346 CONTRACTOR EMAIL: Splkeabobsheating.com <br /> CONTRACTOR LIC #(REQUIRED) BOBSHHA85ONJ ICITY OF EVERETT BUSINESS LIC # OI:054967 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) „, <br /> CONTACT NAME: CONTACT PHONE: 425-686-2444 <br /> Dianne CONTACT EMAIL:Diannekatkinney©a gmail.com <br /> AGREEMENT.-I hereby certify that!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 specked 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 /> PERMIT# <br /> 1/11 <br /> Over Signature Date (Revised 9/23/2016) <br />