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Oct. 26. 2017— 3. 13PV1 •ECTRIGAL PERMIT APICA"INo. 6026 1 <br /> IUN P. <br /> r187rCITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 J FAX 425-257-8857 J (E) everetteps@everettwa.gov I www.everettwagov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: .7-3•2c) n atm <br /> BUILDING AREA(if residential, new construction, remodel,or addition) SF <br /> BUILDING TYPE: sSFR-DETACHED ❑SFR ATTACHED ❑ DUPLEX ID MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: �`\ J <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 100 . p(� <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES /NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: —40 I , <br /> CONTACT INFORMATION <br /> OWNER NAME: • • TENANT NAME If Commercial <br /> OWNER MAILING ADDRESS: STREET 7 3�7) 0 a-Pc <br /> on_, STATE _'V c ZIP 1 <br /> OWNER PHONE: t-(ti 172. ` OWNER EMAIL: <br /> CONTRACTOR NAME: G&S HEATING <br /> CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE <br /> crcv 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): 019865 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 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 1 have read and examined this application end know the same to be true 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 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 98,27 RCW and 296.200 WAC. <br /> City Of Everett Official Use Only <br /> PERMIT# <br /> ry 7A0vE <br /> Owner/Authorized Agent Signature Date <br /> (Revised 9/23/2096) <br />