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i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT S�RVICES 6-<<''3 <br /> 32L�O CEDAR STREET, EVERETT, WA 98201 C`/306—�� <br /> 425-257-8810 - FAX425-257-8857—vnaw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 2230 PINE ST <br /> PROJECTADDRESS <br /> JIM & DORIS MCCARTHY 2230 PINE ST Everett WA 98201 4z5-259-4791 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Addre� (.liy StalelZip Phone <br /> WESCO 3909 196th St SW, Lynnwood WA 98036 800-398-4663 <br /> Electrical Contractor Mail Address Clty State2ip Phme <br /> WASHIES971 OD ex 09/02/13 $400 <br /> State License Number Con[ract Price of Work <br /> SFR <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: <br /> [L�C FOR WATER HEATER <br /> ��IOTE. WIRWG IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �—y� � <br /> `'� V <br /> J <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I he�eby certdy that l have read and examinetl this application and know the same to be Vue antl I—I�r,/� _n,�� <br /> ccrrect. All provisions ollaws antl adinances govemmg this type ofwak will be comple(etl I� U(p �J <br /> �vheBier specilied herein or not. The granting ol a peimif does not resume to give authordy to L-. <br /> vio/ate or cance/the provisions of any other s(ate or locallaw reguPting consiruction or ihe <br /> pc+tormance of construaron. That l am authorized by the otvner ol this properry to perform the <br /> wa�h for which application is made and 1 compfy�vRh Ihe State Convactors Law 78.27 RCW and <br /> 296200 WAC. <br /> Diyiially signed hy Jtnni!at 13w9ass <br /> J e n n i f e r B u r g e s s ��� �„-�..,,�,�..,��,�,, .,_�oHn.,.,�ST�.�,t�,�T. <br /> oo=NOHTIWEST 1'C2V IT.mniall-ennile�,:mvpivmitcort�.c=US <br /> _ n,i�..�m�rF�ry;��.u�m�n>'ra <br /> �ignature �ate <br />