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� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES 2 �i��3 <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org (,�l30Z'-4 5 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 5022 Elm St <br /> PROJECT ADDRESS <br /> Philip Eyler 5022 Elm St Everelt WA 98203 425 345 G580 <br /> Owner Mail Address Ciry Stale2ip Phone <br /> Tenant Meil Address Ciry Sla�elZip Phone <br /> MM Comfort Systems Inc. 18103 NE 68th St Redmond WA 98052 425 881 7920 <br /> Electrical CoNractor Mail Aedress Ciry staie�zip Phone <br /> MMCOMMC925C5 $600 00 <br /> State License Number Contract Pnce of Work <br /> Gary Heath <br /> Proposed Use of Building Contacl Person (Plan RevieN) <br /> Descnption of Work to ee Done: �nstall a 20amp circuit for ductless lieat pump and a 115v GFCI service outlet <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> -�jU •C>C <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily thaf 1 have read and examined th�s appli�cafio�nd know[he same ro be true and � �C/� _ ' <br /> correct. All provisions o/lmvs and ordman:es govemm (his pe o/work will be completed <br /> whefher spea(ed fierem or noL The gran!ing o/a pennd does not resume to give authonty to � ' (.�� <br /> violafe or cancel tlie provisions n/any alnerstate orlocal law reguPting construd�on or fhe <br /> peAonnance of construction. T1�at 1 am aufhorized by fhe owner of fhis properly fo perlorm the <br /> work for which apphcahon is made and 1 compty wifh the State Contrac(ors Law 18.27 RCW and <br /> 296.200 WAG. <br /> � / <br /> �' '� �j `�� — 2-8-13 <br /> ., �—�-- <br /> � Signalure j / Date <br /> �/ <br /> � <br />