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E*CTRICAL PERMIT AP4ICATION <br /> .i f 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 www.everettwa.gov/permits <br /> PROJECT ADDRESS:612 108th PI 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 /> G (I > II � IIIT►R \�� <br /> . .. _...� ,r.....a... ____ z.. __,��,__. .-_.._•xaF.. .�_-r.. ...._.,__ .,-.--��.. ,..�.........i.,� . ..c... .., r............ . ......., a -. �....��s..�. �..wa �...�,`:z..a a. ........�«-��'a�r.< <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: 1 CIRCUIT FC)R AC UNIT <br /> COINTA TION Ar \\ .,,< �..... \\ <br /> OWNER NAME: Lou Hunt TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTREET612 108th PI SE <br /> CITY Everett STATE WA DP 98208 <br /> OWNER PHONE:(425)353-4125 OWNER EMAIL: <br /> CONTRACTOR NAME:Washington Energy Services <br /> CONTRACTOR ADDRESS: STREET 3909 196th St SW <br /> CITY Lynnwood STATE WA ZIP 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 /> G• '' 06/19/19 E 0 \2t <br /> wner/Authe ized Agent Signature Date (Revised 10/12/2015) <br />