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• • <br /> OLT. ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> ( <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 3402 SMITH AVE <br /> BUILDING AREA(if residential,new construction, remodel, or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ®COMMERCIAL <br /> USE OF BUILDING: SEA-DOG <br /> ELECTRICAL APPLICATION INFORMATION <br /> pC� I <br /> CONTRACT PRICE OF WORK: $ -3 c�J <br /> NUMBER OF DEVICES (if low voltage): 1 <br /> FIRE ALARM? ❑YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Replacing unit heater with like in kind unit. <br /> CONTACT INFORMATION <br /> OWNER NAME: SEA REAL CORP TENANT NAME(If Commercial): sea-dog <br /> OWNER MAILING ADDRESS: STREET PO BOX 1201 <br /> cin EVERETT STATE WA ZIP 98206 <br /> OWNER PHONE: OWNER EMAIL: russh@Sea-dog.com <br /> CONTRACTOR NAME: GS HEATING <br /> CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE <br /> cin EVERETT STATE WA ZIP 98201 <br /> CONTRACTOR PHONE: 425-309-6507 CONTRACTOR EMAIL: JONATHAN@GSHEATING.COM <br /> CONTRACTOR LIC.#(REQUIRED): GSHEAC*939RK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 19685 <br /> PRIMARY CONTACT: 0 OWNER LZ CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-309-6507 <br /> JONATHAN FARRELL CONTACT EMAIL: JONATHAN@GSHEATING.COM <br /> AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type <br /> of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> f City of Everett Official Use Only <br /> �� — t PERMIT# <br /> y,. E -\ 4- <br /> Owneff prized Agent 93nature Date (Revised 9/23/2016) <br />