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Egrr LECTRICAL PERMIT API!LVCATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> sem_ ° � m <br /> tiWm.�.a m A T, 'Ah.M«, u f aO�E'� T�S�T 3 ® T n 'm " '..'.`( <br /> A"',.. .w a,.L �Y-. ns'(�IAY..- P` »ft'�Y"+ >...i'h" .,S�e..+_..,v ... .. 000:0C- <br /> PROJECT <br /> �•3'S�� <br /> PROJECT ADDRESS: 3601 Short St <br /> BUILDING AREA(if residential, new construction, remodel,or addition) SF <br /> BUILDING TYPE: la SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: SFR <br /> k ,..E,.,. 1/ n�11: »u "1, nr..a �� ..,, � �,, g. .1 a} 5• <br /> a t i(�-.� 7� •?Y'9kd«i ii i <br /> IAJ.� . ,• IO1�IN�� LIQ �� P'� pl .0* 0 I <br /> k0:0, �"�a3P��� �;, � � ,n� , �. C � now; R �n �t2� �>� b i <br /> .� .i,. a���>n_,�� i r-,r�.»a��.usx: �aa� -•-�.,; k �nM,e,4� int . . ��'.-m.,M��. "�. �_ .A'n 7�'�a`�$..-r ... „— 0..0*_ , <br /> CONTRACT PRICE OF WORK: $ 150.00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Adding a circuit for a new ductless heat pump <br /> . t� ��8 a w, .-r�g+a� m <br /> G ._..a R,. . ,.. ��. CON 'ACT I F RMATIOr1. <br /> OWNER NAME: Don Jameson TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 3601 Short St <br /> c,TM Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 206-788-5724 OWNER EMAIL: <br /> CONTRACTOR NAME: Sundance Energy Services <br /> CONTRACTOR ADDRESS: STREET 224 192nd St SW <br /> c,ry Bothell STATE WA ZIP 98012 <br /> CONTRACTOR PHONE: 425-481-9660 CONTRACTOR EMAIL: sundanceenergy1@msn.com <br /> CONTRACTOR LIC.#(REQUIRED): sundaes062j8 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 32052 <br /> PRIMARY CONTACT: 0 OWNER 10 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-255-3793 <br /> Kevin Lebel CONTACT EMAIL: kevinl@sundanceenergy.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 I am authorized by the owner of this property to perform 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 Use Only <br /> PERMIT# <br /> 5-11‘..4 E i* 1 - l716i <br /> Owner/Authorized gent S'. •ture Date (Revised 9/23/2016) <br />