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To: E Page 2 of 3 2016-03-17 16:47:38 (GMT) 18884000383 From' Deborah Shields
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<br /> .ECTRICAL PERMIT vLIC T ION
<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 1 www.everettwa.gov/permits
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<br /> PROJECT ADDRESS:8510 10TH AVE SE
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<br /> BUILDING AREA(if residential,new construction,remodel,or addition) - _ SF
<br /> BUILDING TYPE ,SFR-DETACHED SFR-ATTACHED )UPLEX MULTI-FAMILY-#OF UNITS: COMMERCIAL 1
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<br /> USE OF BUILDING:
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<br /> CONTRACT PRICE OF WORK: $$600
<br /> NUMBER OF DEVICES (if low volts e :
<br /> FIRE ALARM? ❑ YES 1NO
<br /> ASSOCIATED BUILDING PERMIT#(if applicable): i
<br /> DESCRIPTION OF WORK: 2 Circuits for heat pump
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<br /> OWNER NAME: JAY & SUSAN ISAACS TENANT NAME(If Commercial):
<br /> OWNER MAILING ADDRESS: ssraccr8510 10TH AVE SE
<br /> ,;,ry EVERETT WA 98208 _
<br /> OWNER PHONE:425-353-1705 OWNER EMAIL: &
<br /> CONTRACTOR NAME:Washington Energy Services
<br /> CONTRACTOR ADDRESS: siREs-r3909 196th St SW
<br /> CRY Lynnwood STATE WA ZIP 98036
<br /> CONTRACTOR PHONE:800-398-4663 !CONTRACTOR EMAIL:JENNIFER@NWPERMIT.COM
<br /> CONTRACTOR LIC.#(REQUIRED):WASHIES854NG exp 09/07/17 �ICITY OF EVERETT BUSINESS UC.#(REQUIRED)054773
<br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR NI•THER(Please Specify) JENNIFER COVELLOI AGENT:NW PERMIT
<br /> CONTACT NAME: CONTACT PHONE:206-774-9499
<br /> JENNIFER COVELLO CONTACT EMAIL:JENNIFER@NWPERMIT.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 properly 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
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<br /> 113,00.9
<br /> ,:. _,,i,,,,,._,:.,,,c c Digitally signed by Jennifer Covello PERMIT#
<br /> .y5i. DN:cn=Iervu(er Covello o,ou, 03/17/2016 to() —,�G J'` t IehhllMOhWlIeR1Vt.Cp11,C=USE ' 11
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<br /> s ,p, tic Date:2016 03.17 09:25:56-07'00'
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<br /> Owner/Authorized Agent Signature Da(, (Revised 10/12/2015)
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