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� � E <br /> F <br /> �L�CT ICAL� ��R �T A����C�`�ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 r <br /> (P) 425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits <br /> PE20JEC'P-SIT� IPJFOFtnlIA'YIOI� ; <br /> PROJECT ADDRESS: 3402 SC711tI1 aV� <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: �1 COMMERCIAL <br /> use oF gui��iN�: Sea-dogs Line <br /> ELECTRICAL APPLICATION IFVFORMLlTIOfV <br /> CONTRACT PRICE OF WORK: $ 100.00 <br /> NUMBER OF DEVICES (if low voltage): � ` <br /> �:. <br /> � <br /> FIRE ALARM? ❑YES m NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> oFscR�PTION oF WORK: Replacing a furnace and reusing power from old unit � <br /> CONTACT INFORMATION <br /> owNER Na,mE: SEA REAL CORP TENANT NAME(If Commercial): SEA DOGS LINE <br /> OWNER MAILING ADDRESS: srREEr PO BOX 1201 � <br /> �,N EVERETT srATE WA �„� 98206 p <br /> OWNER PHONE: 425-259-0'194 OWNER EMAIL: rUSSII p�S2a-CIp9.COf71 � <br /> CONTRACTOR NAME: GS HEATING � <br /> coNrRa,cTOR A��Ress: STaEET 3409 EVERETT AVE � <br /> � <br /> cin. EVERETT SrnTE WA 7iP 98201 � <br /> CONTRACTOR PHONE: 425-309-6507 coNTRa,cTOR Emai�: JONATHAN@GSHEATING.COM � <br /> CONTRACTOR LIC.#(REQUIRED): GSHEAC*939RK CITY OF EVERETT BUSINESS LIC.#(RE4UIRED): �96H5 � <br /> PRIMARY CONTACT: ❑OWNER �d CONTRACTOR ❑OTHER(Please Specify) � <br /> CONTACT NAME: CONTACT PHONE: 425-309-6507 [ <br /> JONATHAN FARRELL coNTacT emAi�: JONATHAN@GSHEATING.COM t <br /> AGREEMENT.I hereby certify fhat I have read and examined this applrcation and know the same fo be true and correct. All piovisions of laws and ordinances governing this type � <br /> of work will be completed whether speciffed herein or not. The granting of a permit does not presume to grve authority fo violate or cancel the provisions of any other state or � <br /> loca!law regulafing construction or the performance of construction. That I am authorized by the owner of this property to pertorm the work for which applicafion is made and I F <br /> comply with the Sfate Contractors Law 98.27 RCW and 296.200 W,4C. � <br /> f <br /> E <br /> � <br /> � <br /> t <br /> x <br /> � <br /> ,,v City of Everett Olficial Use Only ? <br /> � � <br /> PERMIT# k <br /> /'�\ � ,,� u <br /> / /I �y3 . ���_�;:,+'s� �f ,-. i <br /> / �..�J ;i:! d,,': `'r' �����°F�.^`"�°r„ g"' �.a). �^� A ( � ' Y ✓' �! � �(, � � <br /> l� f <br /> ,s wnerlAuthorized Agent Signature Date (Revised 9/23/2016) 4 <br /> �`/ li <br />