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age : ?. of 7_ 09/26/ZO14 10 30 nM T0 : 14252578857 FROM : Donna E3arner PH <br /> L" H2O649] 5506 <br /> I <br /> ELECTRICAL PERMIT APPLICATION � <br /> i <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201 <br /> 425-257-8810 - FAX 425-257-8857 - �wvw.everetlwa org <br /> �-� �—�s� � <br /> � �cia�-�s 3 j <br /> 7009 Rainier Drive <br /> I PROJ[CT ADDRESS I <br /> Debbie Passi 7009 Rainier Drive Everett NlN982G3 20G-817-8873 <br /> Owner --- t.!aill,o^rrss C�ry Stmr.2�p Pho,e , <br /> I . I <br /> � ,P,ap� I.",a�l hCA�ross Gi;y $Idie/Z�0 PhOnB 'i <br /> � AMPED Electric & I <br /> i t�techanical, LLC P�O.Box 868 Everett WrV98206 �425) 583-6414 <br /> IflcClricalContractor t.1ai�Add�c,s Cny State!ZIp Phonc � <br /> ; AN�PEDEM9Q7D4 048712 <br /> � S6itr Licensc Dlumbrr (re;;uu�d) Gty of Everett Business licensc Number(reqwrnA) I� <br /> Single Family Residence , <br /> Proposed U�e ut Bu�ding Cantract Pnco ol IYork ' <br /> il <br /> �� Stivare FnoLipe Qf residential ncvr tonslruaien, remotlel or addihon) Contacl Person/Comact Numbed[m�d <br /> Number of devices Qt low vollage) <br /> � Uescriptron ol Wcrk to E3e Dnn� Install circuits for ductless heat pump I <br /> � - — <br /> I <br /> i i <br /> iF[E ��1 <br /> CITY OF EVERETT LOCAL SALES TAX COUE IS J105 r'�OV <br /> J <br /> I heicDy ceddy(hat I have�ea[1 and e���mined this appLcation and Anrnv tho same!o be frtie dnd <br /> corracL A!I p�pvisions o/lav.�s and ordin�nces governrng lhis lype ol work�rill br. r.ornplotod <br /> �vhethe�speci(oJ hero�n or nof Tne gran.'inr�ol�uermd does nof pre5umo fn give aufhon7y fo (�ERMITYr <br /> v�or�lo or e.mcel ihe piovisiuns ol any olher s���c or Wcailmv ioyuldGng r,ons(ruclicn or the � � ( <br /> perlormanco ot consuu�l�on. Thaf 1 am aulhonzed hy fhe owner o/fhis proporty(o peAomi Ihe I �—F-O q — I � r J <br /> �vork!or u�hidi appl�tahnn is made and I compl��wifh fhe Sfaf� Contracfurs L.�v fA.27 RCV.�Jnd � _ <br /> 276.200 WAC. <br /> --� �� - --�� ��� <br /> �i:me Dale <br /> � <br /> R!i'ISF.D CSJfi?OI< <br />