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4rETT PECTRICAL PERMIT APIJHCATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 I (E)everetteps@everettwa.gov[ www.everettwagov/permits <br /> .... .....:.. <br /> rr <br /> ..:_..............:.........:..:.....:.:......:.:.::::.:: :.: ...:_PR•OJECT:,SATE:•INF�RMATION:;;.:;::::.:.:;:;.:::::..-,,.......::_:.::.::...:.....:...:.:.....:..:..:. .: :.:r,:. .:.:....:,•:,.:,.-.,.::.::,.:.. <br /> PROJECT ADDRESS: . -530-t , C. <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: D ER-DETACHED 0 SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> .::..::>::::<::::::.:::::::..:::.:::::::.::.;:.>::::;::>:::-:;::::;:::::::::::.:;..:::..::: �1L.AP)�!II.IC�►"T,1ON,INF.DRMA. .. ON......:..................,.:,...,:...,.._,,;..::::,:,.:,:..:...::........:::.:,....:. ..,.:.. <br /> CONTRACT PRICE OF WORK:$ I n3, . C <br /> NUMBER OF DEVICES(if low voltage): , <br /> FIRE ALARM? 0 YES Of NO <br /> ASSOCIATED BUILDING PERMIT#(If applicable): <br /> DESCRIPTION OF WORK: '€..>°in cE:r,..�4- ;, s;: ,tra.- 'lut�,/ <br /> 1 R ATr�N , <br /> OWNER NAME: yf A�� <br /> .�,�s � e\ �[ TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 13� � � 'ir_ <br /> CITY "-FALLC-4— ( .. ZIf3""p:1'/✓[�+ <br /> OWNER PHONE: 4ccj — OWNER EMAIL: <br /> CONTRACTOR NAME: G&S HEATING <br /> CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE <br /> crry EVERETT STATE WA Da 98201 <br /> CONTRACTOR PHONE: 425-252-4402 CONTRACTOR EMAIL: DAWN@GSHEATI N G.COM <br /> CONTRACTOR LIC.#(REQUIRED): GSHTGSH93ORK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 019685 <br /> PRIMARY CONTACT: 0 OWNER la CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-252-4402 <br /> DAWN WEIMER CONTACT EMAIL:DAWN@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 Jews end 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 /> City of Everett Official Use Only <br /> PERMIT# <br /> Ez -- k,(9 <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />