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Ma r, �3. 2 0� �- 3 : o�PM LECTRICAL PERMIT �: - PL1CATioN P� � <br /> � <br /> CITY OF' EVERETT PERMfT SERVICES <br /> 3200 CEDAR STRE�T, EVERETT, WA 98201 <br /> (P) 425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits <br /> PROJECT SITE INFORMAT�ON <br /> PROJECT ADDF2�SS: �� �� � <br /> SUfLDING AREA(if re ential, new construction, ramodel, or addition) SF <br /> gU[LDING TYPE: SFR-DE7ACH�D ❑ SFR-ATTACHED ❑ DUPLF�C ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL <br /> U3E OF BUILDING: �,�-� <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT pRICE OF WORK: $ ' <br /> NUM�ER OF DEVICES if low volta e): <br /> F[R�ALARM? ❑YES ❑ I�O <br /> ASSOCIATED BUILDING PERMfT# if applicable)� <br /> DESCRfPTION OF WORK: _��Q�p � `7 .�;;M„ C� � <br /> � -v .�.,r i v�- <br /> � <br /> CONTpCT INFORMATION <br /> OWNER NAME: ,/� � TENANT NAM� If Commercial): <br /> OWNER MAlLlNG ADDRESS: sTREET <br /> ��TM � STATE <br /> ZIP <br /> OWNER PHON�: �1��}- ^) - OWNER�MAIL: <br /> CONTRACTORNAME: G&S HEATING <br /> CONTRACTOR ADDR�SS: srReeT 3409 EVERETT AVE <br /> a7y �VERETT srAre WA � <br /> z�p 98201 <br /> CONrFtACTOR�HONe: 425-252-4402 coN7wacTOR ennAi�: DAWN@GSHEATING.GOM <br /> CONTRAC70R LIC.#REQUIRED): GSHTGSH9�ORK CITY OF EVERE7T BUSINESS LIC.#(REQuIREo: 01 J$6S <br /> PRIMARY CONTACT: ❑OV1/�lER �CONTRACTOR ❑ OTHER,(Please Specify) <br /> CONTACT NAME: CONTACT PHON�; 425-252-4402 <br /> DAWN WEIMER coNr,acr Erw,4��: DAWN@GSH�ATING.COM <br /> AGREEMENr�1 Yrereey certify thef!have read a»d axamrned this eppfication and know fre same fo be frve and correct. All provisrons of lsws and orClnanees governing this(ype <br /> oP wwfr will be completsd wnather specified hereln or not. THa grsnting of e permit does not presume to give eufhority to v;o/ate or esnce/the provlsions ol any otner state vr <br /> roca!!aw iegu/ating consfuctlon or tne pa,�ormsnce oP const�uctlon. That/sm euthonzed by fhe owner ol this property to perfam fhe work for which applicsfron is madm antl I <br /> comp/y w�th fhe Stata Contrsctors Lew 18.2T RCW and 298.200 wqC, <br /> City of Everett OffiCial Use Only <br /> /' PERMIT# <br /> �� � I�wI�� E ��-03 -oq � <br /> Owner/AuthorPzed Agant Signeture D&te (Revised 9/23/20?6) <br />