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l�:'-22-' 11 1lt 39 FN0�1-nw permit 1'6�395'1091 T-198 F[��2/[�[�2 F-f2; <br /> ELECTRICAL PERMIT APPLICATION <br /> P SERVICES _ <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-t1t110 - �AX 425•257-i1e57—www.evorotlwa.org <br /> APPLICATIONS ARE ACCEP7EU FROM 8/1M TO 4 PM <br /> 4614 BASSWOOD DR <br /> PROJECT ADORE55 <br /> TRACI 8 MARK CARTER 4614 BASSWOOD DR Everett WA 98203 425-338-5515 <br /> Ownor Moil Addiess C�ry SlalelLp Phone <br /> Tonanl MmlAddress Cily Stale2ip Phone <br /> W ESCO 2800 Thorndyke Ave W SEATTLE WA 98199 �00-398-46G3 <br /> F.Ier.Iric0lCOnlfBc�ur Ma��Addross City SIaIWZip Pnanu <br /> WASHIES9710D ex 09/02/11 $350.00 <br /> Stato Lica��se Numbor Gontract Pnce ol Work <br /> SFR <br /> Pruposed Use of Buildmg Conlect Parsun (P�an Review) <br /> DescripUon af Work Io Be Uone: <br /> ELEC FOR GAS FURNACE R[PLACEMENT <br /> NOTE: WIRING IN NON-DW[LLINGS IS RE(�UIRED TO FEE <br /> RF IN R/10EWAYS, h4C OR AC CABLG. <br /> Cil Y OF EVERF7 r LOCAL SAI.ES TAX CODC•IS 7105 <br /> I hcreUy certiry�haf I havc icad and examinad INs appi�cafion and knvw tns same to be true and � <br /> carrecf All prqws�ons nl law9 anel ordmances ga��oming Nis type ol work wtl!bo,complet�d L� <br /> �t hefhcr speaGed hcn:�n ur noL Ih�flranhng o(a pern;�f dOCS nof p�esume to givo au(hority fo <br /> v�Nate nr cancel tnr,prov!sions u�any ofher st�tc or local law regu�aling construcfion or fhe (�� � <br /> pwfn�mance ol tonsl�uchun. Th�!1 am a�fhunzed by(ha ownsr u/fh�s proParty fo Pedwm fAe <br /> wnrk 7oi which•3Pp��cation�s nrade anU I cornpty with the Sfato Conf�actars Law 18.27 RCW antl <br /> 29ti 2(!0 WAC. <br /> �jC� �� /21_�2�1� _ <br /> S�gne�ura � oal� <br />