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To e Page 5 of 7 2015-08-10 15:18.57 (GhiT) 1889a000383 From�. Deborah Shields <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 6419 ELLIOTT WAY <br /> PROJECT ADDRESS <br /> STANRICHAHDSONTIEDE 6419ELLIOTTWAY Everett 98203 425-710-9459 <br /> Owne� ttan Atltlress Cny StntelL�p Phone <br /> Tenan� �dxi�A�c1re55 City SIa1r./Zip PhOne <br /> WESCO 3909 196th St SW Lynnwood WA 98036 800-398-4663 <br /> E�^ctrica� Coniracror ntae atlo�ess City Siate2ip Pnone <br /> WASHIES9710D ex 09/02/15 �600 <br /> State Licen=_e Numcer Contraci Pnce of Work <br /> SFR _ <br /> Fropcsed Use of Bwlding Contact Person (Plan H?view) <br /> C,p�-� 0�1 � 3��1 <br /> Descr�ptlon of WerA to Be Done: __ __ _ _ _ ___ <br /> ELEC FOR HEAT PUMP <br /> �� 15� , �� <br /> NOTE WIRING IN NON•DWELLINGS IS REQUIRED TO F[[ <br /> E3E IN RACEWAYS. MC OR AC CAE3LE. 0� <br /> � 50 � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I hereby certily�hat 1 have read an0 e�amrned 7his app6c�tion antl kno�v the same to be Uue and <br /> cnnecf. All prnvisuns oflar:s and ordmances govermng this type ol�rork�rdi Ue rompfeted <br /> �•,Ireflre�spCaliedherem or nOf Tho granfing ol a permi7 does not presumelo give authnnty to <br /> viola�e or canceflho prov�swns ol any other state or localla�v regu��Gng construdion or the <br /> pei/ormence ol cC��sduCLon. Thaf!artr��rthOnzed Dy t�e ownCr ot this property(o per�ortn fhe <br /> u'o�k!Or�chidr apphceGOn�s rmUe�n.71 cornpty wdh the Stafe Confracto�s Lan- 18.27 RCW and <br /> 296.20011�A C <br /> Clgil\IIy uqo.tl bY��^�I'Yf CoYrllo <br /> J e n n i f e r C ov e I I o �.� ��-,���,,:,��e�,a.�No���z�,��.,,,,�,� ,� <br /> ei+nd�c��derpnwpprm�t com,<-US <br /> [a�tvi0150AW09tl64i 07'W' <br /> S�ynatum � Daie <br />