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CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org <br /> 813 Locust St Everett 'WA 98201 <br /> PROJECT ADDRESS <br /> Everett Housing AuthoriLy 3107 Colby Ave Everett 98201 925-258-9222 <br /> Owner Mail Address City State/Zip Phone <br /> 813 Locust Ave Everett 98201 <br /> Tenant Mail Address City State/Zip Phone <br /> Andgar Corporation PO Box 2708 Ferndale WA 360-366-9900 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> ANDGAC*011L5 <br /> State License Number Contract Price of Work <br /> single family dwelling iron Neff <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Square Footage(If residential new construction, remodel or addition) <br /> 1 <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: T-Stat Like in Kind - replace gas furnace _ <br /> less than 100, 000 BTU <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I C <br /> v � <br /> t hereby certify that t have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That/am authorized by the owner of this property to perfonn the 13 1501 <br /> 5 I�V 1 _ OZ( <br /> work for which application is made and i comply with the State Contractors Law 18.27 RCW and I 1 <br /> 296.200 WAC. s <br /> i <br /> 01/19/2015 <br /> S' u Date <br /> REVISED 3120/13 <br />