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ELECTRiCAL PERMIT A►PPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-6857 — wudw.everethva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />5805 COLBY AVE <br />PROJECTADDRESS <br />CAROLYN DUCHESNE 5805 COLBY AVE <br />owner <br />Tenant <br />WESCO <br />Mail Address <br />Mail Addfess <br />Everett <br />City <br />Qb <br />3909 196th St SW, Lynnwood <br />Electrical Contractor Mail Address <br />WASHIES9710D ex 09/02/15 <br />State License Number <br />SFR <br />Proposetl Use of 8uiltling <br />Description of Wotkto Be Done� <br />ELEC FOR FURNACE <br />WA 98203 <br />StalrJZip <br />StatelZip <br />WA 98036 <br />a25-322-4520 <br />Phone <br />i�� <br />800-398-4663 <br />QN State2ip Fhme <br />$1500 <br />C,mtract Price of Worh <br />Contact Person (Plan I..,viev.� <br />IlGTE. WIRWG W NON•DWELLIf�JGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, tJIC OR AC CABLE. � C G� � <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I herebV cer2dy that I have read and examined this application end know the same to be true and ��� n �, G�7� <br />carecf All provisicns o/laws and ordinances govemmg thrs type o(work wifl be completed r/ � / <br />�vhelher specified herein or not The �renting o! a permR does not presume to gNe authorlfy to l� <br />violate or cancel ihe prcvisions o/any other sta:e or local/atv regulating construction or the <br />pertormance ol consVuction. Tbat / am authorizetl by the owner oI this pioperry to perlorm ihe <br />�vak Icr n•lrich applicat�on is made and 1 compry u�ith fhe State Con[�actors Lau� 182i RCW antl <br />296 200 WAC. <br />Ulgilally siqneJ by JanniS+0u4�'ss <br />J e n n i fe r B u rg ess t�n �n=Jenni6v�mg�nco-hORTHWfSTPCBht1T. <br />u-M1CPTI+W(ST PCNMR. eniail-;.,nr.i!oic.a wp.•nult.� oni. i-� 5 <br />_ �. .,p.;�=ii_4•a^s r..�... <br />