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ELECTRICAL PE�MIT APPLICATION <br />CITY OF EVERET7 PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 S� �-Z`�� <br />425-257-8810 - FAX425-257-8857—vnrw�.everethva.org � �305_�3(� <br />APP�ICATIONS ARE ACGEPTED FROM 8 AM f0 4 PM <br />G04 E BEECH ST <br />PROJECT ADDRESS <br />RICHAR� MATHE�JY 604 E BEECH 5'T' <br />Owner <br />Tenant <br />Maii Ad�rcss <br />Mad AOdress <br />Everett <br />Ciry <br />Cifi <br />WESCO 3909 196th St SW, Lynnwood <br />Elec!ncal Conitacto� hlail Address ���N <br />WASHIES971 OD ex 09/02/13 <br />State License I lumbei <br />SFR <br />Proposed Use of Budding <br />Descnption oi WorV. to He Done _ <br />ELEC FOR HEAT PUMP INSI�ALL'200 AMP PAN[L <br />P1GTE WIRING IN NON-DWELLIIdGS IS kEOUIRED TO <br />BE fN FAC[WAYS, IdC C'�R AC CABLF. <br />CITY OF EVERETT LOCAL SAL�S TAX CQDE IS 3705 <br />WA 98203 <br />Statelup <br />--�– StatGZip— <br />WA 98036 <br />State2ip <br />$3100 <br />Conuact Pnce of WorF. <br />�z�-azz-sz,� <br />Phone <br />Phane <br />800-39Fi-d663 <br />Phone <br />Contact Person (Plan Rewaw) <br />FEE <br />1�.�0 � <br />I heieb�� certrty� that 1 have read and e�am�ned this app6caGon antl ,4now the same to be true and <br />carecf All provis�ons ollaws and oid�nances governmg thrs type ol woik will be completed ( 7J- Q%..., I��j <br />�vhethei specdietl hermn or no� The grantmg d n permrt dces nnt presume to grve authorRy to � <br />va/ate or cancel the provisions ol an;� other state or �ocal lew regulanng conshuc�ron a the <br />pcv�/ormance ul consnudion 7eat / am authon:ed Dy the owner ol th.is properry to pe�'am the <br />�vuti la ���nrch applrcat�on is made and I compl� �vrfn Ihe State ConGacfors Law 18 2/ RCN� and <br />196 200 IA�AC <br />I qqn nllv +ign�•tl iry lenni�ri Ben)r» <br />Jennifer Burc�ess "^���-I�•nni!•�P�ag.��aTAONT•W(STP(Nh11T _ , <br />�-l.ONTIqYf1TIYIL15R.eninA*nnni'.,i.i�awln,nw�inin � <br />� ri o .�. <br />