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To: E Page 4 of 4 2015-12-09 13:13:45 (GMT) 18884000383 From: Deborah Shields <br />ELECTRlCAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9820� <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICA710NS ARE ACCEPTED FROM 8 AM TO 4 PM <br />2i�29 UVALNl1T �T �3 <br />PROJECT ADDRESS <br />SHELBY CAMF'BELL 2029 v�IALNUT 5T #3 Everett <br />OWner P,riaii Address City <br />Tenant <br />Mail Address <br />City <br />WA 98201 <br />State/Zip <br />Stafe/Zip <br />Was�ingtars Energy Services �g09 19�th St SV1I LYNNII�OOD WA 9803� <br />Electrical Contractor Maii adaress ciry state�zip <br />v����i�Es�rJ��v� �X� og/a7/� � ��oo <br />State License Number Co�tract Price of Work <br />SFR <br />Proposed Use of Building <br />Description of Work to Be Done: <br />Add/alter 1 circuit for heat pump <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />Contact Person (Plan Review) <br />CITY OF EVERETT LOCAL SALES iAX CODE IS 3105 <br />t hereby certify that l have read and examined this application and know the same to be true and <br />correct. Ail provisions of laws and ordinances governing this type of work wi!/ be completed <br />whether specified herein or noi. The granting of a perm�t does not presume to give authority to <br />vro/ate or cance/ the provisions of any other sfate or local law regidafing construction or the <br />performance of construcbon. That 1 am authonzed by the owner oi this property to perform the <br />work for �vhich appfication is made and l comply wifh fhe State Contractors Law 98.27 RCW and <br />296.200 , �; 7; C1ic;italiy signed byJennifer CoveElo <br />� ,,; <br />� `; � �` �f( � � �'�% �� ,, Df+,:cn—JenniferCovello,o,au, <br />t,= � � � s\ ;14 � x. ��af ��;�. ���Ph?ali—)k?YthlfeY'LcJ11W��ZYYiII�.COtY1, C=US <br />__ f)�Ta• JO1 S 1 �!ly fl5•!lk•dfl -(lR'l1f1' <br />��yr�a�u�� _..._. _., Date <br />FEE <br />425-3n 7-3093 <br />Phone <br />Phone <br />8d0-398-4663 <br />Phone <br />v � ✓ I�f V� V <br />