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WOES 4253223792 p.1 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> l'401 Poplar 61 <br /> _ . - _ _ _ A 98201 <br /> PROJECT ADDRESS <br /> Everett Housing Authority 3107 Colby Ave PO Box 1547 Everett Wa 98206 425-303-1121 <br /> Owner Mall Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> West Coast Electrical Services 12527 Mukilteo Speedway #103 Everett, WA 98208 425-322-3189 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> WESTCC`897PQ 053544 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Cans riiLlnity Center $1A15.00 <br /> Proposed Use of Building Contract Price of Work <br /> Kyle Adams 425-322-3189 <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices (If low voltage) <br /> Description of Work to Be Done: Add three circuits for outdoor heat pumps. 30 amp 208 v. <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that I have read and examined this application and know the same to be true and <br /> correct Al!provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That!am authorized by the owner of this property to perform the E 051 <br /> work for which application is made and I comply with the State Contractors Law 98.27 RCW and ✓✓ <br /> 296.200 WAC 7 7 <br /> Signa Date I <br /> REVISED OWW062C14 <br /> II <br />