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4677 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 /> PROJECT SITE,INFORMATION <br /> PROJECT ADDRESS: 3815 Shore Ave <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL <br /> USE OF BUILDING: New home <br /> E $j ECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 600 <br /> NUMBER OF DEVICES (if low voltage), <br /> FIRE ALARM? ❑YES 127 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Installingtwo new gas furnace and stats for new home. and running line set for future AC <br /> e ed `cLt on m- Yv & th ta( i a ir•6 <br /> viott <br /> Ca,\1 Is I6\iu ,/lok e, <br /> CONTACT INFORMATION <br /> OWNER NAME: KENNEDY JOHN & DANYEL TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 3815 SHORE AVE <br /> c„-,, EVERETT STATE WA zip 98203 <br /> OWNER PHONE: 206-793-5520 OWNER EMAIL: JKENNEDY@NEWWESTSITE.COM <br /> CONTRACTOR NAME: GS HEATING <br /> CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE <br /> Cin, EVERETT STATE WA Zip 98201 <br /> CONTRACTOR PHONE: 425-309-6507 CONTRACTOR EMAIL: JONATHAN@GSHEATING.COM <br /> CONTRACTOR LIC.#(REQUIRED): GSHEAC*939RK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 19685 <br /> PRIMARY CONTACT: 0 OWNER Q CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-309-6507 <br /> JONATHAN FARRELL CONTACT EMAIL: JONATHAN@GSHEATING.COM <br /> AGREEMENT:I 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 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 /> 10-16-18 E � ( O - ( Y �` <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />