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ELECTRICAL PERMIT A�PLICATION <br />�ITY OF EVERETT' PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 g�— � b�0� <br />425-257-8810 - F!�( 425-257-8857 — www.everettwa.orp <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C O60 �` ��� <br />3119 Mukilte� Blvd <br />PROJECT ADDRESS <br />1'aui Sager <br />ow,ier <br />Tenant <br />3119 Mukilteo Blvd <br />Mail Address <br />Mail Address <br />Everett <br />G.y <br />City <br />WA 98203 <br />Slate2ip <br />Slate2ip <br />425-355-21G6 <br />Pliona <br />Phone <br />WESCO 2800 Thorndyke SEATfI_E WA 98199 zos-s�a-ssas <br />EleUricalConVactor MallAddress Clrv Rlplp2P ahone <br />WASHIES9710D ex 09/04/07 <br />State Llcense NumDe� <br />SFR <br />Proposed Use of �uilding <br />Desuiption of Work lo Be Done: <br />1- new electrical outlet to Fireplace <br />NOTE: WIRING IN NON•DWELLINGS IS REQUIRED 70 <br />BE IN RACEWnYS. MC OR AC CABLE. <br />100.00 <br />Contract Price of Work <br />Conl,ct Person (Plan Raview) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />l hernDy certify that 1 have read and examinad fhis appfieation and know fhe same to be We snd <br />correct. An pmv�sions of laws and ordinances goveming this rypo of wak wil/ be crompleted <br />whe(he� snecified herCin or not. Thn prantinq oI a pe»mf doas no! mcume to giw eufhonfy f� <br />wolafo a cancel thy provfsions of any otNer state or loca/ law rogu�ting constroction or fhe <br />performance o/ construclion. Thaf I am authonzed by fhe owner o(fhis property to pedorm fhe <br />waklor which applicafion is made and ! compry with tha Sfafe Contracfors Law 1827 RCW ard <br />��� �.,� �. .,. . <br />FEE <br />r c:�O��Y -0v1; <br />