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EtkCTRICAL PERMIT APJICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> ..�. :\\..��.�r .' � . Jim_ ....% �:�.._�� :! ..:� a '-r.,. C,71664= .\.....: a�, .s. <br /> PROJECT ADDRESS:9117 3rd Ave SE <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑✓SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> � • '7414 .�, •� ""' te <br /> \ - �v•• v > <br /> CONTRACT PRICE OF WORK: $1000 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 2 CIRCUITS FOR HEAT PI AAP ANIS AIR HANfI FR <br /> ", ,i-., i �/i} II IIiIAT•IIA1 zp(� <br /> OWNER NAME: Robert Barton TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET9117 3rd Ave SE np <br /> CITY Everett STATE WA ZIP 98208 <br /> OWNER PHONE:(425)446-0286 OWNER EmAIL:shadowking265@gmail.com <br /> CONTRACTOR NAME:Washington Energy Services <br /> CONTRACTOR ADDRESS: STREET 3909 196th St SW <br /> CITY Lynnwood STATE WA Z,P 98036 <br /> CONTRACTOR PHONE:206-378-6648 'CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED):WASHIES854NG (CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 054773 <br /> PRIMARY CONTACT: 0 OWNER ❑✓ CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-378-6648 <br /> NIKKI HYETT-SCHNELL CONTACT EMAIL:NHYETT-SCHNELL@WASHINGTONENERGY.COM <br /> AGREEMENT:T 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 <br /> type 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 /> FEE <br /> PERMIT# <br /> • <br /> 06/19/19 <br /> E \td()- 121 <br /> ner/Authorized Agent Signature Date (Revised 10/12/2015) <br />