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Fffi-11-'GE 11:35 FI?GP1- T-61C P009/008 F-[173 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PcRMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT', W.4 98201 6 `���v�g <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org �o�0 6�a 6 5 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 1419 LOMBARD AVE <br /> PROJECT ADDRESS <br /> KEVIN GILLIHAM '�4�9 �oMBaR� ,4v�, Everett WA 98201 425-870•0258 <br /> �Wf16f MailAtltlress Ciry Slate2ip Pho�e <br /> Tenant MailAddress Cily Stalerzip Phone <br /> WESCO 2800 Thorndyke SEATTLE WA 98199 206378-8649 <br /> E�ectrical Conlrador Moil Atl�r¢ss Ciry SG,te2ip Phone <br /> WASHIES9710D Exp. 09/02/09 750.00 <br /> State License Number Contract Price of Work <br /> SFR <br /> Proposed Use of Buiidinp Contact Persan (Plan Review) <br /> �escriplion of Work to Be Done <br /> Adding 2 eleclrical circuits (gas furnace and gas �vater heater) <br /> NOTE: WIRING IN NON-DW(:LLiiJGS IS F`EQUIRED TO FEE <br /> BE IN RACEWAYS, MC QR AC CA3LE. <br /> CITY OF C-VERETT LOCAI SALES TAX CUAE IS 9105 �U/J/-� l - �S <br /> J.. �O <br /> !hereby cortify thaf 1 havs road and examined Ih/s application and know the same fo bo true and <br /> correct A/l pinvisrons ollatvs and ordmances goveming this typc ol work will be compleled <br /> whsther speafied herein or nol. The granhng of a pormrt doos not rosumo to give authonty to <br /> violafe or cancel ihe provisions of any othcr sfafe crlocol law reguPafin9 consrruction or tfie <br /> perfonnance of constroction. Tliat I am aufhonzod by the owner ol thisp roperty to perlo�n the <br /> work!or whiGr applicafion is made snd I comply wifh the Sta�e Contractors Law 1 B27 RCW and <br /> 296.200 WAC. <br /> Q� 1 � <br /> Signalure Date <br />