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Jul. 26. 2017_ 1 . 39PM No, 5610 P. 2 <br /> �L�CTRICAL PE�MIT 1.\�L[CA`TION <br /> CITY OF EVERETT PERMfT SERVICES <br /> 32Q0 C�DAR S7RE�7, EVERETT, WA 98201 <br /> (P) 425-257-8810 � FAX 425-257�$857 � (E) everett�ps@�ver�ttwa.gov � www.everettwa.gov/permits <br /> 1'ROJECT SITE INFORMATION <br /> PROJECT ADDRESS: � <br /> BUILDfNG AREA(if residential, new eonstruction, remodel, or addition) S� <br /> BUILDING TYPE: SFR-DETAGNED d SFR-ATTACH�D ❑ I]UPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> USE OF BUILD]NG: � <br /> EL, T AL APP�ICpT�ON INFORMATION <br /> CONTRACT PRICE OF WORK: $ j <br /> NUMBER OF DEVICES if low volta e : <br /> FIRE A�ARiVI7 ❑YE5 O <br /> ASSOCIATED BUILDING PERMIT# if a licable): <br /> DESCRIPTION OF WORK: � , .�' '' ,,; � <br /> , � � ,� .. <br /> � ` u� � <br /> I 1/ <br /> I'-C <br /> CONTACT INFORMATION <br /> OWN�R NAM�: � TENANT NAM�([f CommerciaJ ' <br /> OWNER MAILING ADDRESS: srREST � <br /> ciN � SrpTE ziP <br /> OWN�R PHONE: ' r— - �WN�R EMAIL: <br /> coHTrzacroR NA�nE� G&S HEAT[NG <br /> CONTRACTOR ADDR�SS: STREET 3409 EVERETT AVE <br /> c,n. EVERETT STATE WA Z,P 98201 <br /> contYwic�oR PHONe: 425-252-4402 cohtrr�ACTOR Enn,4�L: DAWN a�GSHEATf NG.COM <br /> CONTRACTOR LlC.#(REQUIRED: GSHTGSH930RK CITY OF EVERETT BUSINESS LIC.#REQUiR D: O�9865 <br /> PRIMARY CONTACT: ❑OWNER 6�I CON7RACTOR ❑OTHER(Please Specify) <br /> CON7ACT NAME: CONTACT PHONE: 425_252-4402 <br /> DAWN WEIIVIER caNrAcr�nnAi�: DAWN@GSHEATING.COM <br /> AGREEMENT.�1 hereby certify th�1/have resd and examrnad this app!lcaffon and know fhe same to be hve and cwrec(, All provisions of laws snd ordinences gvveming thrs type <br /> of work will be comp/efsd whaths�speclfl�d heiern or not. The grsnfi�g of a pe�;t doas not presume to giva euthonty to viofsfa or caneal fha provis7ons of any otnar state o� <br /> local!ew regufst;ng consfnction or fhe performence of cons4uction. That 1 em author/zad by tne owner of this prapeity to pe�for�n 1he work for which applicafion is made and 1 <br /> comp/y with the Stsfe Gonfractors Lsw 18.27 RCW and 2s6200 WAC. <br /> Cify of Everett O�cie!Use Only <br /> PERMIT# <br /> � � �--1 � 1�"0� �-��. � <br /> OwnerlA . riz re Dat9 <br /> (Revised 9/23/2096J <br />