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<br /> ELECTRICAL PERMIT PLICA ���I� . �r� ,
<br /> CITY OF EVERETT PERMIT SERVICES �� .
<br /> 3200 CEDAR STREET, EVERETT, WA 98201
<br /> (P) 425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everetlwa.gov/permits
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<br /> PROJECT ADDRESS: 2028 128TH PL SE
<br /> BUILDING AREA(if residential,new construction,remodel,or addition) 1,710 SF
<br /> BUILDING TYPE: �SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL
<br /> usE oF Bui���NG: RESIDENTIAL
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<br /> CONTRACT PRICE OF WORK:$600.00
<br /> NUMBER OF DEVICES if low volta e :
<br /> FIRE ALARM? ❑YES �NO
<br /> ASSOCIATED BUILDING PERMIT# if a licable :
<br /> DESCRIPTION OF WORK: INSTALL CIRCUIT FOR OUTDOOR HVAC UNIT- HEAT PUMP
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<br /> OWNER NAME: KEITH+KATHLEEN THORP TENANT NAME(If Commercial):
<br /> OWNER MAILING ADDRESS: sTRee-r 2028 128TH PL SE
<br /> cirv EVERETT STATE WA ZIp 98208
<br /> OWNER PHONE:425-220-5493 OWNER EMAIL: N/A
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<br /> CONTRACTOR NAME: BLUE FLAME HEATING,AIR AND ELECTRIC
<br /> CONTRACTOR ADDRESS: STREET 7116 220TH ST SW,#1
<br /> crrv MOUNTLAKE TERRACE STATE WA ziP 98043
<br /> CONTRACTOR PHONE: 425-771-7139 CONTRACTOR EMAIL: INFO@BLUEFLAMECOMFORT.COM
<br /> CONTRACTOR LIC.#(REQUIRED): BLUEFFH831 MM CITY OF EVERETT BUSINESS LIC.#(REQUIRED): SaT��
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<br /> PRIMARY CONTACT: ❑OWNER C�CONTRACTOR ❑OTHER(Please Specify)
<br /> CONTACT NAME: CON7'ACT PHONE: 425-771-7139
<br /> NAQUIN GRAY/KAILANA MONIZ CONTaCT eM��: INFO@BLUEFLAMECOMFORT.COM
<br /> AGREEMENT.•T hereby certify that/have read and examined this application and know fhe same to be true and correct. AH provisions of/aws and ordinances goveming this
<br /> type of work wil/be completed whether spec�ed he�ein or not. The granting of a permit does not presume to give authorily to vio/ate or cancel the provisions of any other state or
<br /> local law regulating construction or the performance of construciion. That I am authorized by the owner of this property to perform the work for which application is made and I
<br /> compiy with the State Contractors Law 18.27 RCW and 296.200 WAC.
<br /> City of Everett Official Use On/y
<br /> FEE
<br /> • ! PERMIT#
<br /> $�7�,� E ��l 6�����
<br /> O n A rizec��t SI re Date (Revised 10/i2/2015)
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