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ELECTRICAL PERMIT APPLICATION <br /> "Ij:A <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 f FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECTSITE:INFORMATION. '. <br /> PROJECT ADDRESS: 1 <br /> BUILDING AREA(if residential,new construction, remodel,or addition) SF <br /> BUILDING TYPE: %SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: C2r, joA.Aet,e <br /> EL <br /> :::::....:::.:•:..... .. - :RIC. : :�'APPLIC '< :ION- F . . <br /> IN ORMATION. . <br /> CONTRACT PRICE OF WORK: $ 1 � <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? ©YES /i/ NO <br /> ASSOCIATED BUILDING PERMITS(if applicable): <br /> DESCRIPTION OF WORK: IWN ble 3 <br /> 6.0 <br /> :CONTACT`INFORMATION <br /> OWNER NAME:.} ,y-' , T JV1(,,\ TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 'cf.)\ • j v {i �,Af 4 c,(Q Are <br /> L ? <br /> CITY �i�,l{„�,`�-,�" STATE � QIP 41:;<7/51 <br /> OWNER PHONE: L'S`3 OWNER EMAIL: <br /> CONTRACTOR NAMEr G&S HEATING <br /> CONTRACTOR ADDRESS: sTREE-r 3409 EVERETT AVE <br /> cry EVERETT STATE WA zip 98201 <br /> CONTRACTOR PHONE: 425-252-4402 CONTRACTOR EMAIL: DAWN@GSHEATING.COM <br /> CONTRACTOR LIC.#(REQUIRED): GSHTGSH93ORK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 019685 <br /> PRIMARY CONTACT: 0 OWNER 01 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-252-4402 <br /> DAWN WEIMER CONTACT EMAIL: DAWN @GSHEAT!NG.COM <br /> AGREEMENT.1 hereby certify that I 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 lam authorized by the owner of this property to perform the work for which application is made and <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> (111E cX E <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />