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• <br /> 4L. 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 /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 3121 Tulalip aver <br /> BUILDING AREA(if residential,new construction, remodel,or addition)2439 SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED 0 DUPLEX ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> USE OF BUILDING: Watson resid C ,� <br /> ELECtRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WOR :gg$ 200.00 <br /> NUMBER OF DEVICES (if low 1 Itage): 1 <br /> FIRE ALARM? 0 YES \ <br /> ASSOCIATED BUILDING PERMIT O(tf'a:plicable): <br /> DESCRIPTION OF WORK: running new stat wire for new furnace for addition <br /> CONTACT INFORMATION <br /> OWNER NAME:Watson TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 3121 Tulalip ave Snohomish <br /> cFry Everett STATE Wa ZIP 98201 <br /> OWNER PHONE: 206-841-301 1 OWNER EMAIL: <br /> CONTRACTOR NAME: G&S Heating <br /> CONTRACTOR ADDRESS: STREET 3409 everest ave <br /> cm, Everett STATE wa ZIP '- '` <br /> CONTRACTOR PHONE: 425-610-4257 CONTRACTOR EMAIL: jonathan@gsheating.com <br /> CONTRACTOR LIC.#(REQUIRED): GSHEAC*939RK CITY OF EVERETT BUSINESS LIC.#(REQUIR D): 19685 <br /> PRIMARY CONTACT: ❑OWNER Ql 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 /> =- � = E - CO <br /> Owner/Auttiorized Agent Signature Date (Revised 9/23/2016) <br />