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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.gov <br /> 3300 Chestnut Street, Everett, WA 98201 <br /> PROJECT ADDRESS <br /> George S. Newland- 3300 Chestnut St., Everett,WA 98201 -425-259-9191 <br /> Owner Mail Address City State/Zip Phone <br /> Newland Construction Co., Inc. 3300 Chestnut St., Everett, WA 98201 -425-259-9191 <br /> Tenant Mail Address City State/Zip Phone <br /> D. K Systems, Inc. - PO Box 886, Burlington, WA 98233-360-755-15551 Kevin Korthuis 360-770-7981 <br /> Electrical Contractor Mail Address City - State/Zip Phone <br /> DKSYSI'987M6 04W4 dos 0 3 1 i <br /> State License Number(required) C4/ofEverett Business License Number(required) <br /> I <br /> Business $ 1,000 <br /> Proposed Use of Building Contract Price of Work <br /> Kevin Korthuis-360-770-7981 <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> kevin@dksystemsinc.com-or- <br /> tami@dksystemsinc.com <br /> Number of devices(if low voltage) <br /> Description of work to Be Done: Disconnect&Reconnect"Like for Like"to newly installed Heat Pumps <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that I 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 I am authorized by the owner of this property to perform the <br /> work for which application is made and I comply with the State Contractors Law 98.27 RCW and <br /> 298.200 WAC. <br /> (��G -11�) - <br /> 10/20/2016 <br /> Signature ---- Date <br /> I <br /> REVISED 08✓WW 14 <br />