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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 />7 75th St SW <br />PROJECT ADDRESS <br />Daniel Pittsford <br />Owner <br />Tenant <br />Blue Flame Heating & A/C <br />Electrical Contractor <br />BLUEFFH8670R <br />State License Number <br />Proposed Use of Building <br />7 75th St SW <br />Mail Address <br />Mail Address <br />7116 220th St SW #1 <br />Mail Address <br />Everett <br />City <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />City <br />Mountlake Terrace <br />City <br />Description of Work to Be Done: Install new circuit for air conditioner. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WA, 98203 <br />State/Zip <br />State/Zip <br />✓A, 98043 <br />State/Zip <br />$600 <br />Contract Price of Work <br />(206) 255-7377 <br />Phone <br />Phone <br />425)771-7139 <br />Phone <br />Contact Person (Plan Review) <br />1 hereby certify that I have read and examined this application and know the same to be true and <br />correct. AU provisions of laws and ordinances governing 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 I am authorized by the owner of this property to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />nature <br />REVISED 3/20/13 <br />uate <br />FEE <br />� (� ���� <br />PERMIT# <br />EI�I��-dS� <br />