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To: E Page 8 of 8 2015-08-18 15:15:56 (GMT) 18884000383 From: Deborah Shields <br />� <br />ELECTRICAL PERMlT APPLICATI4N <br />C1TY 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 />4928 WILLMIN�TON AVE <br />PROJECT ADDRESS <br />STEVEN VAN ANTWERP 4928 WILLMINGTON AVE Everett <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />City <br />City <br />WESCO 3909 196th St SW �ynnwaod <br />Elecirica3 ConTractor Mail address City <br />WASHIES9710D ex 09l02/15 <br />State License Number <br />SFR <br />Proposed Use of Building <br />Description of Work to Be Done: <br />ELEC FOR HEAT PUMP <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE iN RACEWAYS, MC OR AC CABLE. <br />98203 <br />State/Zip <br />State/7.ip <br />WA 98036 <br />SiatelZip <br />$400 <br />Coniract Price of Work <br />425-343-55�0 <br />Phone <br />Phone <br />800-398-4663 <br />Phone <br />Contact Person (Pian Review) <br />CiTY QF EVERETT LOCAL SALES TAX CODE IS 3105 <br />l hereby certify thaf 1 have read and examined this app/icatron and know the same to be true and <br />correct. AIl provisions of /aws and ordinances governrng this rype of work wili be compieted <br />whether specified herein or not. The granting of a permft does not presume to give authorrfy to <br />violafe or canee/ the provlsions of any other state or loca! law regulatrng construction o� the <br />performance of consfructron. That 1 am authorized by the owner of fhrs property to perform the <br />work for which app/ication is made and 1 comply wifh the 5tate Contractors Law 18.27 RCW ar�d <br />296.200 WAC. <br />� ' DigitallysignedbyJenniferCovello <br />J`�� I�� 1 � O V� I I O DN: cn—Jennlfer Covello, o—Northwest Permit Inc, ou, <br />`email=jennifer(,j!nwpermlt.com, c=US <br />Date: 2015.08.06 09:06:44 -07'00' <br />Signature Date <br />FEE <br />����c�v <br />� <br />�i��� - IZ'I <br />