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To: E Page 6 of 6 2015-09-29 17:19:36 (GMT) 18884000383 From: Deborah Shields <br /> • • <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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 1315 GRAND AVE <br /> PROJECT ADDRESS <br /> JUDY ACCIAI 1315 GRAND AVE Everett WA 425-259-3647 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> Washington Energy Services 3909 196th St SW LYNNWOOD WA 98036 800-398-4663 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> WASHiES854NG exp 09/07/17 $500 <br /> State License Number Contract Price of Work <br /> SFR <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: <br /> Add/alter 1 circuit for gas fireplace insert. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> 50 (90 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> l hereby certify that I have read and examined this application and know the same to be true and J�( <br /> correct. All 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 notresume to give authority to <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That l am authorized by the owner of this property to perform the <br /> work for which application is made and i comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC <br /> .amu Digitally signed by Jennifer Covello <br /> DN:cn=Jennifer Covello,o,ou, <br /> emailjennifer(anwpermit.com,c US <br /> n rte•)m S now)i n nm 7_n7'nn' <br /> SigFiarurc Date <br />