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To: E Page 1 of 4 2015-08-06 16:12:41 (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 /> 5024 DOGWOOD DR <br /> PROJECT ADDRESS <br /> CARROLL TIEDE 5024 DOGWOOD DR Everett 98203 425-259-1005 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City StatelZip Phone <br /> WESCO 3909 196th St SW Lynnwood WA 98036 800-398-4663 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> WASHIES9710D ex 09/02/15 $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 /> ELEC FOR HEAT PUMP <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3145 <br /> l herebycertify that 1 have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governi.ng 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 <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/comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> Digitally signed by Jennifer Covello <br /> J C Q n n I f Q r Covello <br /> O`V/e I I O DN:cn-Jennifer Covello,o-Northwest Permit Inc,ou, <br /> C email=jenniferClrnvpermit.com,c=US <br /> Date:2015.08.06 09:06:44-07'00' <br /> Signature Date <br />