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1 <br /> E�ECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 g `a �`D� <br /> 425-257-8810 - FAX 425-257-8857-www.everettw�.org C-O(�g��J�D <br /> APPLICATIONS ARE ACCEPTED fROM 8 AM TO 4 PM <br /> 5732 Commercial Ave <br /> PROJECT ADDRESS <br /> Shane Gillis 5732 Commercial Ave Evereit WA 98203 425-263-0944 <br /> OWnet Mail Addres� City State/Zip Phof» <br /> Tenant M�ii Addre55 City Slate2lp Phma <br /> Genesee 3616 S GEN�SEE ST SEATTLE WA 98188 2osa2z-�sas <br /> EledricalConttBclor MailAddress Cly Steterip Phone <br /> GENESFH37006 10/07 200.00 <br /> Stale License Numbar Contract Pncc of Work <br /> SFR <br /> Proposed Use ot Building Contect Person (Plan Review; <br /> Description o(Work W Be Done: <br /> 1 - 4 Circuit for replacement of non-eloctrical furnace <br /> NOTE� WIRING IN NON-DWEL!INGS IS REQUIR[D TO FEE <br /> BE IN RACEWAYS, MC OR AC CABI_E. <br /> CITY OF EVERETT LOCAL SALES TAIC CODE I5 3705 <br /> 1 hereby cerliry fhaf 1 have read and examin�d fhls nppllcatro.�end know the same ro 6e rrue and <br /> r.onecL All provisions of laws and ordin�nces goveming this type o(work will be completey <br /> whefherspecified herein or not. 77�e prantinD ara permd does not rasume fo pive�authonty ro <br /> �olate cr cancel tha provis�ons of any other state or locaf law reguPffnq consfrucfion or fhe <br /> peAormnnce o/cor,sfruchon. That 1 am outhodzed 6y fhe ow�er o(fhis propeRy fo perlo�m the <br /> work for which application i�made end I comply wifh the e Confroctors Low 18.27 RCW end <br /> 2.96 200 WA C. i <br /> i' ���s.�� � z? �s G <br /> Signatur Data ' � �� <br /> ��� � <br /> 1 <br /> �• <br />