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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 �'"� �`�3 <br />425-257-8810 - FAX 425-257-8857 — www.everethva.org �� 3�� ,�� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />5014 DOGWOOD DR <br />PROJECT ADDRESS <br />ANITA JOHANSEN 5014 DOGWOOD DR Everett <br />Owner <br />Tenant <br />WESCO <br />Mail Address <br />Mail Adtlress <br />City <br />ary <br />3909 196th St SW, Lynnwood <br />Electncal Contractor Mail Address <br />WASHIES9710D ex 09/02/13 <br />SWte License Number <br />SFR <br />Proposed Us� of Building <br />Description of Work to Be Done�. <br />ELEC FOR FURN AND HEAT PUMP INSTALL <br />Ctb <br />WA 98203 <br />StatelZip <br />State/Zip <br />WA 98036 <br />State2ip <br />�22�� <br />Contract Price of Work <br />425-327-6177 <br />Phone <br />Phone <br />800-398-4663 <br />Phore <br />Contact Person (Plan Review) <br />I IGTE' WIRING IN NON-DWELLI��JGS IS REQUIRED TO FE'= <br />BE IN FACEWAYS, MC OR AC CABLE. <br />��' �)�"1 <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have read and e.eamined this appfica�ion and know the same to be Vue and �.� <br />carect All provisions o/ laws and ordinances govemmg this type o( work wlll De comp/eted [_ �.�(; I-(j� / <br />�vhether specif�ed herein or not 7he granting oI a permit does not resume to give auihorhy to <br />violate or cancel the provisions ol any other state or /ocal la�v reguPting consVuction or tbe <br />per lormance o1 consVudion. That I am authori:ed by the o�vner oI this properry to perfo�m the <br />�vak /or which application is made and / compry wrth the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />Di9iL�lly signnl by Jrnm(cr flurqcs� <br />J e n n i f e r 6 u r g e s s nN m-lmndrc Bm9ess n=IJDRTHl1tiA PCftMII, <br />uu=NUIlIH114�1 PLNMII. cmeilqannt��suwycmiiLwui �-lN <br />n.u. 'im v m nf � J.IV 1;-lTn!1' <br />