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ELECTR���L ��RMIT APPLICATION <br /> CITY OF El��:��:'r';' �ERMlT SERVICES <br /> 3200 C�UAk �;� '�'!-��. EVERETT, WA 88201 <br /> 425-257-8810 - Fr"+X 425-257-8857—www.eveteriwa.org <br /> .qPPLICATIONS AF.E�.GGEPTED�ROM 8 AM TO 4 PM <br /> 2204 GIBSON PL <br /> PROJECT A�DRF_SS <br /> ROBERT NERING 2204 GIBSON�PL Ever�ll WA 98203 a2s-zso-s�sa <br /> ONT�et Mall Address City S1ate2ip Phonc <br /> 7enant Moii noarc:c C�ry �atnDip Phone <br /> WESCO 2800 Thorndyke SEA'fTLE WA 98199 zos-a�s-ssas <br /> Eleclrical Contractor Mall Address City State2lp Pho�e <br /> WASHIES9710D ex 09/04/09 700.00 <br /> State License Numbet Contrad Price of Work <br /> SFR Nawn KnaniN«mwcsc Pem,rc mo�xasas-z�a� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> �oacripGon of Work ie Be�one: <br /> 2 circuits for the replacement of an electric to gas water heater and a 4-ton heat pump <br /> NOTE: WIRING IN NON-DN:LLINGS IS REQUIRED TO ' FEE <br /> BE IN RACEWAYS, MG OR AG CABLE. <br /> CIIY OF EVERETT I.00AL SALES TAX CODE IS 3105 <br /> 1 hereby cehify that I have read and ezamined this applicstion and Mrow fhe same!o be Uue and '7 n t S <br /> mrmcf. AllpmvisionsnNaws.v:Nnrtiinenrnspoverninq7hiSlyOeotWOfkWillbe,complEtEd � C' 7�u U'' <br /> whelher speci(ied herorn or not The grsnting o(a pemrd doos notP resume fo orve authonty fo <br /> vio/ate or cancal fhe provisions ot any olherstate or locallaw mgulalirrg conslnic0on or fhe <br /> pedormonce o/construd�on. Thnt!am aufhonzed by the owner of fhis property co perform fhe <br /> wnrk�r wnieh applicat/on is made and 1 comply wlth fhe Sfate Confracrors Law 18.27 RCW and <br /> 296.200 WAG. <br /> �w .e�� ���1� ��� <br /> Sign urt oate <br /> V <br />