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'SIP ELECTRICAL PERMIT APPLICATION <br /> siti&-r4CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 I(E)everetteps©everettvraQov I vvww.everettwagoviperrnits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 5308 Rockefeller <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Residence, <br /> /ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: W <br /> O. <br /> I4 -la) <br /> NUMBER OF DEVICES(if low vol ge): <br /> ge): <br /> FIRE ALARM? 0 YES NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: new circuit(1)for ductless heat pump <br /> CONTACT INFORMATION <br /> OWNER NAME:TC Warrington Properties, n I I <br /> _..._ TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 8320 Vernon Rd. <br /> orry Lake Stevens mit Wa98258 <br /> zip <br /> OWNER PHONE: OWNER EMAIL: <br /> ,• <br /> CONTRACTOR NAME: Right On Heating & Sheet Metal, Inc. <br /> •CONTRACTOR ADDRESS: STREET PO 758-2213 131st Ave. NE <br /> zny Lake Stevens sTATa V‘la zip 98258 <br /> CONTRACTOR PHONE:425-3354207 CONTRACTOR EMAIL: rightonheating@frontier.corri <br /> CONTRACTOR LIC.#(REOUIRED): RIGHTHS988CL CITY OF EVERETT BUSINESS LIC.#(REQUIRED) $3964. <br /> PRIMARY CONTACT: 0 OWNER 2 CONTRACTOR t3 OTHER(Please Specify) Mark-425-754-8151 • a'zi a - ' a) <br /> CONTACT NAME: CONTACT PHONE; 425-335-4207 <br /> Jeanie Graves (office manager) CONTACT EMAIL:rightonheating@frontier.corn <br /> A GREEmeNT:i hereby certify that I have reed and examined this application end know the sante to be true and coirect All provisions of laws and ordinances governing this type <br /> of work will be completed whether specified herein or not The grenting of a permit aces not presume togive authority to violate or cane&the provisions of any other state or <br /> local law reguiattng construction or the performance of construction. That!am authorized by the owner of this properly to perforni the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official tie Only <br /> PERMIT# <br /> q,..L.44., E q-oq- - <br /> 0 net/Authorized Agent Signature <br /> irI Date (Revised 9/23/2016) <br /> ( <br /> •,.., <br />