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-tit.‘530 <br /> ,,,, ,,,,--......A ELECTRICAL PERMIT APPLICATION <br /> --; CITY OF EVERTT PERMIT'SE VICES <br /> 3200 CEDAR STREET,EVERETT,VVA 98201 <br /> (P)425457.8810 I FAX 425-257.8857 1 (E_)ev r ttep everettwa.goV I www.everettwagovinerrnits <br /> Y -` ;-1 X94- W ?z ars.,d. ... ORMA 4 eiggiC, .m. .. - .` <br /> PROJECTADPRESS: 6708 Cady RD Everett !A <br /> BUILDING AREA(if residential,new construction,.remodel,or addition) SF <br /> BUILDING TYPE: El SFRDETACHED 0 SFRATTACHED :0 OUPt.EX El MULTI-FAMILY.#OF UNITS: 0 COMMERCIAL <br /> USE OF'BUILDING:. Faith Lutheran Church <br /> v <br /> CONTRACT PRICE OF WORK:$ 400,00 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES RI NO <br /> ,ASSOCIATED BUILDING PERMIT if(It appli able): <br /> DESCRIPTION OF WORK: Hook up 3 replacement heat pumps <br /> z dA $- '-"%'" yry�y( h Y � <br /> ,ee � , <br /> OWNER NAME:Faith Lutheran Church TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: srasgr 6708 Cady Rd <br /> c,,,,Everett STATE wa zip 988203 <br /> OWNER PHONE:425-353-4430 OWNER EMAIL: <br /> CONTRACTOR NAME: Rherna Electric <br /> CONTRACTOR ADDRESS: magi.628 S Spruce St <br /> ctry Burlington STATE WA 98233 <br /> CONTRACTOR PHONE:360-416- 227 CONTRACTOR EMAIL; daVeb@rhernaelectric«corn <br /> CONTRACTOR LIG.#(REOIin D): RHEMAEL '400H CITY OF EVVERE. BUSINESS LIC.#(1 UIREQI 45783'', <br /> PRIMARY CONTACT: El OWNER: ISI CONTRACTOR 0 OTHER(Please Specify} s. <br /> CONTACT NAME CONTACT PHONE: 366-666,0164 <br /> Dave Bubeti CONTACT EMAIL:daveh©rherneelectric.com <br /> AGREEMENT;Thereby certify that I have read and examined.this applfcation and know the sante to hula end cdrraoti All provisiohs:of hive and ordihances governing this One: <br /> of work-mil he completed Whether specilied'her+ein or not The granting Gra pe'mIl does not presume to give uutho,ity to violate or cancel the pmwsranof any other state or, <br /> local law ter dating construction or the per eppance of construction. That I eat authori ed by the,ownerof thi;p(tperty topetforra the work for which omit-CeibaIs made and I <br /> comply with the ztate Contractors Law f8,27 RGW end 296.200144c <br /> 1\6 <br /> City ot Everett Wildio!Use Orgy <br /> . '' 'i . , <br /> ii 'i 2/1 <br /> PERMIT# <br /> Ei Del <br /> OvinerfAal#r +'•ed Agent Signature Date (RevIsed:9J23f2t?6J , <br />