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To: E Page 1 of 6 2016-05-03 13:34:32 (GMT) 18884000383 From: Deborah Shields <br /> ELECTRICAL lT ICAL it IT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> OL 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 FAX 425-257-8857 (E) eve retteps(gDeverettwa.g ov www.everettwa.gov/permits <br /> PRCIJECT 51TE II�IFt91PM,�'T101�1,' <br /> PROJECT ADDRESS:4020 GRAND AVE <br /> BUILDING AREA(if residential, new construction„ remodel,or addition} SF <br /> BUILDING TYPE V SFR-DETACHED I FR-ATTACHED UPLEX MULTI-FAMILY-#OF UNITS COMMERCIAL <br /> [USE OF BUILDING: RES <br /> AL APPI.IW'IQW Iti1FQR11ri/1T;IG1N;, <br /> �Li;CTItIG ; <br /> CONTRACT PRICE OF WORK. $900 <br /> NUMBER OF DEVICES (if law voltage): <br /> FIRE ALARM? ❑YES ,/ NO <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: 2 CIRCUITS FOR HEAT PUMP <br /> CONTI�CT"I FQi2Al1A71+DN <br /> OWNER NAME: ROGER DARLING TENANT NAME fir Commercial): <br /> OWNER MAILING ADDRESS: s a[T,4020 GRAND AVE pry(� <br /> CITY <br /> EVERETT S,':ATEWA .'.:F> 9820 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:Washington Energy Services <br /> CONTRACTOR ADDRESS: STREET 3909 196th St SW <br /> rTY Lynnwood STATC WA 7V 98030 <br /> CONTRACTOR PHONE:800-398-4663 CONTRACTOR EMAIL:JENNIFER@NWPERMIT.COM <br /> CONTRACTOR LIC.#(REQt-11RFD):WASH IES854NG exp 09/07/17 CITY OF EVERETT BUSINESS LIC.#(REc1u1RED)x54773 <br /> PRIMARY CONTACT: El OWNER ❑CONTRACTOR V THER(Please Specify) 1cNNIF=ft COVELLO AGENT;NW PERMIT <br /> CONTACT NAME: CONTACT PHONE:206-774-9499 <br /> JENNIFER COVELLO CONTACT EMAIL:JENNIFERr vNWPERMIT.COM <br /> AI;RF.FML-NT?hereby cerldy that 1 have read and examined this application and known tli same to lr lrue grid a>rrect, Ail provisions of laws and ordinances goveminy this <br /> tyke r>(wor'k will tae rorrptotecl whet[ r specified herein or r>'it. The granting cv a,permit does not pres'tntrc to g;v(7 auihonty io violate or cancel the provisions of any ether stale',or <br /> local law rrguhAng construction or the per xTr-lance of construction. That 1 tarn authorized by thu owner of tits property ro pwforru the;work,or which application is madc and <br /> comply with the+State Contraotors Law 18.27..RCVV and 296.200 WAC. <br /> City of Everett Official Us,&Only <br /> FEE <br /> Digitally signed by Jennifer PERMIT <br /> Jennifer Covello'jate''2016.05,0306:32:08 05103/2016 <br /> -07'00' E <br /> Owner/Authorized Agent Signature Date ('Revised 10/12/2015) <br />