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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 /> 830 80th St SW #100, Everett, WA <br /> PROJECT ADDRESS <br /> COVEWOOD MANOR LLC 9848 VIDOR DR STE 201, LOS ANGELES, CA 90035 <br /> Owner Mail Address City State/Zip Phone <br /> ReNu 830 80th St SW #100, Everett, WA 98203 <br /> Tenant Mail Address City State/Zip Phone <br /> Heattransfer Co. P.O. Box 1268, Carnation, WA 98014-1268 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> HEATTC*009DA 023094 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Office/Warehouse $100.00 <br /> Proposed Use of Building Contract Price of Work <br /> Richard Sinnema 425-885-3247 <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> heattransfer1@aol.com <br /> 1 <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: install one thermostat for new unit <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 1 a o <br /> 1 hereby certify that/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 E 66 6 c— c(3 <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and Q I <br /> 296.200 WAC. <br /> ' (g -' ) .' ( () <br /> Sign/t e r v Date <br /> REVISED 08/06/2014 <br />