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+ <br /> ELECTF&AL PERMIT APP@CATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.gov <br /> 2105 74th ST SE, Everett, WA 98203 <br /> PROJECT ADDRESS <br /> Raymond Savage Engels 2105 74th ST SE Everett WA 98203 789-1885 <br /> Owner Mail Address City Statc'?ip Phone <br /> N/A <br /> Tenant Mail Address City Stale!2ip Phone <br /> N/A Self Install Project <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> N/A N/A <br /> State License Number(required) City of Everett Business License Number(required) <br /> N/A N/A <br /> Proposed Use of Building Contract Price of Work <br /> N/A Raymond Engels, 425-789-1885, navray@msn, _ •� <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> N/A <br /> Numher of devices (If low voltage) <br /> Description of Work to Be Done- <br /> Install Eaton Brand (Matched to my panel) Interlock device, one 30amp 2 pole breaker. Using 3/10 Romex wire, <br /> connect new breaker to exterior mounted female plug(distance of less than four feet) for temporary connection to my <br /> portable generator during outages. <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 # r <br /> 1 hereby certify that l have read and examined this application and know the same to be true and V / <br /> con-ecL All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a perrnit does not presume togive 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 l am authorized by the owner of this property to perform the <br /> work for which application is made and l comply with the State Contractors Law 98.27 RCW and 1 V <br /> 296.200 INAC. <br /> �- _-- <br /> Signature Date <br /> I <br /> REVISED 08/06/2014 <br />