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� <br /> 06-11-'08 11:35 FftOM- 'i-619 POP7/008 F-0�3 <br /> � <br /> ELECTRi�/�L PERiViIT ARP�ICA�'ION <br /> CITY OF EVERE7T PERMIT SERVICES �� -p� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 G — /� <br /> 425-257-8810 - FAX 425-257-8857 —wvrr�.everzthva.org Ll p g�(—�Cn <br /> APPLICATIONS ARE ACCEP7ED FRQM 8 AM TO 4 PM <br /> 10804 HOLL'�' DRIVE SOUTH <br /> PROJECTADDRESS <br /> RANDY SYIMPSON 10804 HOLLV DRIVE SOUTH E��erett V�'A 98204 425327-7338 <br /> O�mef MailAddress c:�ty Slaterip Phona <br /> Tenant MailAddress Cily Staterzip Phone <br /> WESCO 2800 Thorndyke SEATTLE WA 98199 2Dfi378-66�19 <br /> ElectricalContrador MailAddress ' Ci�y State2ip Pno�o <br /> WASHIES971OD Exp. 09/02/09 250.00 <br /> State License Numher Contrad Price of Work <br /> SFR <br /> Proposed Use of Auiltling Contact Person (Plan Revie��v) <br /> Descriplion of Wark to 0e Done: <br /> Roplacing 1 electrical circuits fcr a 3-ton heat pump <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS,MC OR AC CABLE. <br /> CIN OF EVERETT LOCAL SALES TAX CODE IS 3105 //��j�'�/„ �(1/� <br /> !� ����U�u l�L <br /> 1 hereby certily fhaf I have rearJ and Fzamined this application and know the same to be t�ue and V - <br /> conect. All provisions of laws and ordmances goveming(his typo of wotic will bo,complsted <br /> whefher specdied herein or noL The granting ol a permd does notpresurne to groe authonty lo <br /> vidafe or cance/fhe Provisions e(any ofhsr stato or'oca/!aw ise�ulafing conshuction or the <br /> nedom�ance ol const:uchon. That I am autNonred by Ihe owner o/this properly to peAomt the <br /> work lor which application is mado and 1 compry wi(h Iho Sfate Contracfars Law 1821 RCW and <br /> 286.Y00 WAC. <br /> Si na�e' Oa�� (' <br /> y`Y <br /> ; 5 <br /> � <br /> ✓� <br />