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Oi-12/'.01: 16:20 FAS J00 658 9J48 CISCO �ORTp �J00: <br /> � <br /> i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF ENERETT P'ERMIT SERVICES <br /> 3200 CEDf�R STREET. EVERETT,WA 98201 <br /> 425-25�-8810 - ��/ix 425-257-8857—www.everetlwa.org <br /> APPLICATIONS ARE A��EPTED FROM S AM TO 4 PM <br /> 9404 1st Dr SE Everett, W,4 98208 <br /> PROJECT ADDRESS <br /> Melissa Helmenstine 9404 1 st Dr SE Everett WA 98208 206-877-3099 <br /> O�AR1Cr Mail AaOrvss Clry Stete/Lp Phone <br /> TCnanl � MeilAtlOress firy State2lp Pho� <br /> Cisco Electric Inc 22612 92nd Ave W Edmonds WA 98020 425-778-3572 <br /> Electrical Gontraaor n.to�neeress Ciry Ste�oZP Ph°^° <br /> CISCOEI914DE $400.00 <br /> State Licence nlumiier Contrect Price of Work <br /> propoaed USC of Building Con18d Person (Plau Review) <br /> Square Footage(I(fe5i�onliai new conStNCion, remodel or addition) <br /> oe5����uo�orwort �o de�one: Install circuit tor ductless heat pump. <br /> NOTE: WIR�NG iN NON-DWELLINGS IS RE�UIRED TO fEE <br /> �E IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVEREn'LOCAL SALES TAX CODE IS 3106 I <br /> I hereby Certily fhaf I have road and oxaminad this appbCntion and knOw the Sxme to be trvo 3nd �I 'LO� - Q,Sy <br /> cormc( All pmvisions ollaws and orclinancos qotwminy this fypa of worit will Go compleled � <br /> wholher spec'nred horuin ornot The grantinp o(d ponnrl d�es not pmsume ro giw aufhonty to <br /> violofe orcancv�l th�.provisions of any ofhe�stafe or local/aw rogulaling constrvction ar tho <br /> po��ormanca o1 ca75tniction. Th,t I am aulhonzod by Ihe owndr o/fhis proporty to uoAorm the <br /> i werN/or which apphcation is modo and 1 comply with tho Stafo Confraclors Law 1627 RCW and <br /> 296200 WAC. <br /> —�� �� 7/12/12 <br /> —" . o.nc <br />