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�o e Fage 3 of a 2014-�1�09 19.2026(GMT) 18884000383 From� Deborah Shieltls <br /> � � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CECAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 –www.everettwa.org � � � /�--1� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C � � �I—Q�� <br /> 4731 MERMONT DR <br /> PROJECT ADDRESS <br /> SUSAN NEWMAN 4731 MERMONT DR Everett WA 98203 425•374�2922 <br /> Owner ' � ' t,�au nddress C�ry Siate2�p �hone <br /> TenaM hlail Address Cdy Slole/Zip Phone <br /> WESCO 3909 196th St SW Lynnwood WA 98036 800-398-4663 <br /> Eleclncal Contracto� Mali Pddress CAy State2�p Phone <br /> WASHIES9710D ex 09/02/15 $400 <br /> State License Number Contract Pnce of Work <br /> SFR <br /> Proposed Use of Buildmg Contacl Person (Plan Revlew) <br /> DescripUon of Work lo Be Dane. <br /> ELEC FOR FIREPLACE <br /> � <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FCE <br /> BE IN RnCEWAYS, MC OR AC CADLE �O� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> !heroby cerhly Ihaf 1 have read�nd examined�hrs�pp�icafion and hnow Ihe same to be t�ue and �� � I I (,�� <br /> correcl All p�oviswn�ol la�vs an;l ordinancos govemmg this type o�work wdl be comp/eted l/ <br /> �rhelher specihed herem or not. The grantmg o/a permrt does no!presume(o give authonty to <br /> violafe or cencel fhe prowsions of any other sfate orlocnllaw reyulahng consfruchon or fhe <br /> perfoimance ol consWchon. Thal 1 em authoraed by fhe owner ollh�s roperty to peAorrn Ihe � <br /> u-ork lor which app6cat�on rs nrade and!compty wdh Ihe Sta(e CentracPrs Law 18.27 RCW and <br /> 296200 WAC. <br /> Dig�tally vgned by lrnmler Co.ello <br /> J�� � I��� �A�^I I O pll tn-1¢nndpr Covtllo o-NO11�Y+e5l Pp�ind InG au. <br /> t� C �'email=�e�n'ee�IDnwprrmil.mm,c=US <br /> Dnir.i014]1 09 I1�17-JI.C9'00' <br /> Signalure Datc <br />