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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVlCES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX425-25�-8857—www.everethva.org <br />5519 EAST DR <br />PROJECTADDRESS <br />JIM BERGMAN <br />Owner <br />Tenant <br />WESCO <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SAME AS PROJECT ADDRESS Everett <br />Mail Address <br />Mail Addres <br />Ciry <br />Ciry <br />2800 Thorndyke Ave W SEATrLE <br />Electrical Contrador A7ail Address <br />WASHIES971 OD ex 09/02/11 <br />State License Number <br />SFR <br />Proposed Use of 8uilding <br />ary <br />Description of VJorkto Be Done: <br />GLECTRICAL CIRCUIT FOR TANKLESS HOT WATER HEATGR <br />NGTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WA 98203 <br />st-- <br />StateJZip <br />WA 98199 <br />State(Lip <br />$300.00 <br />Contract P—.-- k <br />425-344-7305 <br />Phone <br />Phone <br />800-398-4663 <br />Phone <br />Contact Person (Plan Review) <br />I hereby certdy that I have read and examined this application and Ano�v the same to be Vue and <br />carect. All provisions o/laws and ordinances governing thrs type of �vork �vill be completed <br />�vhether speufied herein or not. The granting ol a permrt does not presume to grve authorfry to <br />violate or cancel the provisions o/ any other state or local/a�v re�u/a0ng consVuctron or the <br />pcvlormance oI consVuctron. That I am authori_ed by the owner ot this properry to perlam the <br />�vak !or �vhich application is matle and I compfy �vifh the State Gontractors La�v 18.27 RCW and <br />296200 WAC. ,'� <br />5/18/11 <br />FEE <br />v\105' ��-'� <br />