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---! ELECTRICAL PERMIT APPLICATION
<br /> !!►,/�r,-y - CITY OF EVERETT PERMIT SERVICES
<br /> '�� 3200 CEDAR STREET, EVERETT,WA 98201
<br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov i www,everettwa.gov/permits
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<br /> PROJECT ADDRESS:2119 Chestnut Street Unit A, Everett, WA 98201
<br /> BUILDING AREA(if residential,new construction,remodel,or addition)Residential SF
<br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED is DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL
<br /> USE OF BUILDING: Residential
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<br /> CONTRACT PRICE OF WORK:$ 5382.00
<br /> NUMBER OF DEVICES(if low voltage):
<br /> FIRE ALARM? 0 YES 0 NO
<br /> ASSOCIATED BUILDING PERMIT#(if applicable): M1809-007
<br /> DESCRIPTION OF WORK: Installing circuits for ductless heat pump with one indoor head. Applying
<br /> for 3 circuits.
<br /> CONT;ACT'INF.ORIIATIOI . ;,; ;
<br /> ,. 11:11 :... ,.>�. ......... ......;:
<br /> OWNER NAME:Paul Selsor TENANT NAME(If Commercial):
<br /> OWNER MAILING ADDRESS: STREET 2119 Chestnut Street Unit A
<br /> arr Everett STATE WA ZIP 98201
<br /> OWNER PHONE: 425-941-7285 OWNER EMAIL:
<br /> CONTRACTOR NAME: Barron Heating
<br /> CONTRACTOR ADDRESS: STREET5100 Pacific Highway Suite 103
<br /> c,M Ferndale STATE WA ZIP 98248
<br /> CONTRACTOR PHONE: 360-676-1131 CONTRACTOR EMAIL: amandaa@barronheating,Com
<br /> CONTRACTOR LIC.#(REQUIRED): BARROHA179D7 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):052470
<br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME: CONTACT PHONE: 360-676-1131
<br /> Barron Heating CONTACT EMAIL:amandaa@barronheating.com
<br /> AGREEMENT 1 hereby certify that l have read and examined this application and know the same to be true and 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 l
<br /> comply with the State Contractors Law 18.27 RCW and 298.200 WAC.
<br /> City of Everett Official Use Only
<br /> PERMIITQ# q
<br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016)
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