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1122 HOYT AVE 2019-03-27
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1122 HOYT AVE 2019-03-27
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Last modified
3/27/2019 1:43:05 PM
Creation date
3/27/2019 1:43:04 PM
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Address Document
Street Name
HOYT AVE
Street Number
1122
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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJ <br /> SITE...INFORMATION <br /> PROJECT ADDRESS: 1 122 HOYT AVE <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: {1 SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: RESIDENTAIL <br /> .........:....::.......,.......:..:.:.-..:.-:...:....... ICAL.APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ <br /> NUMBER OF DEVICES (if[ow voltage): <br /> FIRE ALARM? 0 YES 12l NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: CLASS B FOR REPLACING FURNACE <br /> :.::..:..:..::..::::.. CONTACT INFORMATION <br /> OWNER NAME: MCLANE DEVIN &TARYN TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 1122 HOYT AVE <br /> cry EVERETT STATE WA zip 98201 <br /> OWNER PHONE: 206-498-8372 OWNER EMAIL: <br /> CONTRACTOR NAME: GS HEATING <br /> CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE <br /> ern, EVERETT STATE WA ZIP 98201 <br /> CONTRACTOR PHONE: 425-252-4402 CONTRACTOR EMAIL: DAWN@GSHEATING.COM <br /> CONTRACTOR LIC.#(REQUIRED): GSHEAHC8218R CITY OF EVERETT BUSINESS LIC.#(REQUIRED):600558 <br /> PRIMARY CONTACT: 0 OWNER LZ1 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-252-4402 <br /> DAWN WEIMER CONTACT EMAIL:DAWN@GSHEATING.COM <br /> AGREEMENT:!hereby certify that l have read and examined this application end know the same to be true and correct. All provisions oflaws 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 1 am authorized by the owner of this property to perform the work for which application is made and 1 <br /> comply with the State Contractors Law 18.27 RCW end 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> DAWN WEIMER 2/20/2019 E' 1902- <br /> OwnerfAuthorized Agent Signature Date (Revised 9/23/2046) <br />
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