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c �-:; <br /> ELECTRICAL PERMIT 14PPLICATION '�� 2 <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 (�� ,.p� <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org <br /> ���oi—�s�3 <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 2702 Forest View Drive <br /> PROJECTADDRE33 <br /> Nancy Aceto 2702 Forest View Drive Everett WA 98203 a2s-s�z-asas <br /> Owner Meu nddress ciy scwemp pnone <br /> Tenant MellAddreu G�y Stalel7lp Phme <br /> WESCO 2800 Thorndyke SEATTLE WA 98199 2Q6-378•6649 <br /> Electrical Contractor Men Address <br /> Gh' Stele2iP Phone <br /> WASHIES971 OD ex 09/04/07 434.00 <br /> Stafe License Number Contract Prica oi Work <br /> SFR <br /> Proposed Use of Bullding Contad Person (Plan Review) <br /> Description of Work to Be Done: <br /> Electrical for installation of gas fireplace insert <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TJ FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT IOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify thaf I have read and examined this applicetlon and know�he same to be true and <br /> correct. All provisions o/laws and ordinances goveminy fhts type o/work will be com.plefed <br /> whefher speci�ed herein or not. The granting o1 a perm�t does notpresume to give aufhorlfy to ��� 1�� <br /> violate or cancel fhe provislons o�any otherstate oilacal/aw regulatinsgpconsfruction or the � <br /> w��i whrch appl/catiotn/s made and l�mply w(h fhe State6Cont ejctorspLaw 18 27 RCW end <br /> 296.200 WAC. <br /> /• !-dZ� ��3/� <br /> SignaWre Date <br />