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5812 FLEMING ST 2018-06-07
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5812 FLEMING ST 2018-06-07
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Last modified
6/7/2018 2:01:40 PM
Creation date
6/7/2018 2:01:39 PM
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Address Document
Street Name
FLEMING ST
Street Number
5812
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Mar, 23. 2017-12. 09PM No. 5077 P. 2 <br /> ECTRICAL PERMIT AlieLICAI IUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 J (E) everetteps§everetfwa.gov J www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:\ <br /> BUILDING AREA(if residential, new construction,remodel,or addition) SF <br /> BUILDING TYPE:,‘SFR-DETACHED 0 SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: QJ$ hvAin a A <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 47)p <br /> NUMBER OF DEVICES if low volta•e : <br /> FIRE ALARM? ❑YES CI NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): _ / <br /> DESCRIPTION OF WORK: \vi4 k d�,f , � \w-. ps p r (s C(Y.O�U R� -61Y <br /> \CA-Velutin ro <br /> CONTACT INFORMATION <br /> OWNER NAME: c(,X 1 A SNAIL S TENANT NAME Of Commercial): <br /> OWNER MAILING ADDRESS: sTReET « h'tiL iYVI y� �-l�' <br /> CITY t "`"""`��� STATE ZIP q-w <br /> OWNER PHONE: lap- 3c3—Y-601 ��� OWNER EMAIL: <br /> CONTRACTOR NAME: G&S HEATING <br /> CONTRACTOR ADDRESS: sTREST 3409 EVERETT AVE • <br /> cm( EVERETT . STATE WA zip 98201 <br /> CONTRACTOR PHONE: 425-252-4402 CONTRACTOR EMAIL: DAWN@GSHEATING.COM <br /> CONTRACTOR LIC.#(REQUIRED): GSFITGSH93ORK CITY OF EVERETT BUSINESS LIC.#(REQuIaED): 019865 <br /> PRIMARY CONTACT: ❑OWNER Ia CONTRACTOR ❑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/have read end examined this application and know the same to be Imre end 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 Lew 18.27 RCW and 296.200 WAC. <br /> City Of Everett Official Use Only <br /> PERMIT# <br /> 17-1-11 E - <br /> Owner/Au orized Agent Signature Date (Revised 9,'23i2016) <br />
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