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G8-07-'C79 14: 20 FROP1-rr: permit 13609452�91 T-609 P010/019 F-551 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRE�T, EVERE�, WA 98201 �r7 _� _�p <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa orc� �� � <br /> � 09o8--a�/ <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 4009 KROMER AVE <br /> PROJECT ADDRG55 <br /> JUDY MUENCH 4009 KROME�? AVE Everett WA 98201 425-2;e•szs�. <br /> OWilc� MailAddress Ciry Stat¢2ip Pnon¢ <br /> Tenant M�ilAdJfe5s Ci�y S�alo2ip PhonO <br /> WESCO 2�300 Thorndyke SEATTLE WA 98199 soe-ssa-asss <br /> 61oCtfieal Conlfactor Mail Address City S�ate/Zip Phone <br /> WASHiES9710D ex 09/02/09 $900.00 <br /> Slate Lir.ense Numher Contract Pri�of Work <br /> S�� <br /> Proposed Use of�uilAing Contact Person (Plan Review) <br /> oesuiption of Work to Be Done: _ <br /> Add/alter 2 circuits (or heal pump install <br /> r NOTE: WIRING IN NON-�WELLINGS IS RE(]UIRED Tp FEE <br /> BE IN RACEWl�YS, MC OR AC CA�LE. <br /> CITY OF EVERETT�OCAL SAI.ES TAX COUE IS 3105 <br /> !hereby ccrt�ly that I have r�ad and examineA fhis a�plication and know the same to be true and <br /> mrrecf. A!I piovisions ol laws and ord�nances govsmm�this type of�voA;wdl De.comploesc� <br /> whefher spealied herem or not. Ths g�an�iny aI a pennR does nat p�esume ro 9�ve aulhenty(o <br /> violafe or cancel Ihe prov:s�nns ol any olher stato or�ocslla�v regula��ny consVuction or the <br /> pedom�ance oI conslrucfron. That�am authonzed by tha owns�o/th�s prepe�ty fo peKorm tho <br /> wodr 1or which applicafion is rnade and I wmpty�cith the S1ate Conbac(ors�a�: 7 p.27 RCW and <br /> 296.200 WqC, i <br /> ���.��L�=� � p\,L ,� � <br /> jgnatufu ' ... Dae�� � ' -- i,I�� <br /> �� I <br />