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To: E Page 4 of 4 20'16-01-27 21:39:29 (GMT) 18884000383 Frorn: Deborah Shields <br />� <br />� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CE�AR 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 />17� 8 ftlIAPLE ST <br />PROJECT ADDRESS <br />DEBORAH BLAKE 171$ MAPLE ST <br />Owner <br />Tenant <br />Mail Address <br />Maii Address <br />Everett <br />City <br />City <br />V1/A 982a1 <br />StatelZip <br />StatelZip <br />42 i�-:3�0-1264 <br />Phone <br />Phone <br />w�,hington �nergy Services �g0� 1��t� St S1/1l Ll'NNW�C7D WA 98t�36 800-398-4663 <br />Electrical Contracto� Mail Address City State2ip Phone <br />WA�HIE�8�4�� exp 091071'! 7 $600 <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 />Addlalter 1 circuit for heat pump <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RP,CEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS �105 <br />! hereby certify that l have read and examined fhis appticatiort and know the same to be true and <br />correci. Al! provisions of laws and ordinances governmg th�s type of work will be cornpleted <br />whether specified herein or not. The granfing of a permri does r�ot presume to give authonty to <br />violate or caRcet the provisions of any other state or foca!!aw regulating consfruction or the <br />perforrnance of construction. Thaf i am authonzed by the awner of tf�is properfy fo perform the <br />work for v�iricf� appJrcation �s made and l comply with the State Contractors Law 18.27 RCW and <br />296.2UC I Dig�tally siqned 'ny Jennifer CoveNo <br />( � ; <br />�' '� ,�, �� ; Dfd: cn—Jenn�fer Covello, o, au, <br />t '� �� r� �;`, t„��t.��r�,;; email�=jenniFer;anwpermitcam,c=US <br />� "...... _ . . . . C YF . " Ji P . . <br />FEE <br />_ ���� <br />�i�;C`(�1�Y <br />