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'4111P./S/1 ---A kLECTRICAL PERMIT AIICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> ;:. :ROJECT:SITEINFORMATION:; 1 ..:::..:..:..::::.:..:..::..::: <br /> PROJECT ADDRESS: q3 !3 Y <br /> BUILDING AREA(if residential,new construction, remodel,or addition) 1 U SF <br /> BUILDING TYPE:' SFR-DETACHED CI SFR-ATTACHED D DUPLEX ID MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: i ()1 P '� as <br /> :APPL A : <br /> ;::EIECTRICAL: <br /> IC TlONlNPORMATION .....:::.. .:.....:....::.........._:..;..:...;.:::::...:.,..,:.,;.:.......::.: <br /> CONTRACT PRICE OF WORK:$ <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES D NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: l n 1 nEtJ RJ' Sc '(,y„ <br /> piLm(1 i+0 OK z o -\ <br /> CONTACT:INFORMATION: . . . <br /> OWNER NAME: 1t !Zy �� TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 9 (� �r1 i' '-' <br /> CITY &j'Cij�'/�S 4 STATE Va., ZIP 9 014 <br /> OWNER PHONE: -S-• P %C.;) Cc, OWNER EMAIL: P0±-alr-d+e f�� rr Sn C G l <br /> CONTRACTOR NAME: G&S HEATING <br /> CONTRACTOR ADDRESS: sTReei 3409 EVERETT AVE <br /> Cin. 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: ❑OWNER ca 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 and know the same to be true and correct. All provisions of taws 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!am 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 /> tg-1-"---aa ,Oa —X-� E <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />