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01-10-'11 10:45 FROM-nw permit 13609952091 T-912 P006/006 F-337 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEbAR STREET, EVERETT, WA 98201 I �J(���J <br /> 425-257-II810 - FAX 425-257-8857—www.everettwa.org �' �!a� �a <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 1521 WETMORE AVE <br /> PROJECT ADORESS <br /> GC-RAIDb CHRISTYPAINTER 1521 WETMORE AVE Everett WA 98201 425•923-7775 <br /> OWO@f Mail Address Oty SIatWZip Phane <br /> Tenant MailAdtlress Ciry Stale2ip Phone <br /> WESCO 2800 Thorndyke Ave W SEA7TLE WA 98199 800-39s•asss <br /> Eloclrical Conlraclor Mail Addre6s Cily SlalelLp Phone <br /> WASHIES971 OD ex 09/02/11 $400.00 <br /> State License Numher Conlract Prica af Work <br /> 5FR <br /> ProposeU USe Of Building Conlact Person (Plan Revig�v) <br /> Doscription ol Watk lo Be Done: <br /> Add/alter 1 circuit for gas fireplace insert <br /> NOTE: WIRING IN NON-OWELLINGS IS REQUIRED TO FEE <br /> 6E IN f2ACEWAYS,MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TA7C COOE IS 7105 <br /> � - J Z c'r <br /> i hereby certify rhat!have read and esamined tl�is applicalron and know fhe same to be tme and U � �� <br /> cbnocf. All P{4visions o(laws anJ orUinancss yovsrrring lhis typo of work will be campfefed <br /> whelher speaLed herein ornot Tlio pr.nntin�ol a pcnnd does notp rssume to givo aulhouty to <br /> violate or cancel fhs Provisions oI any olher stafe o�local law regu/afing consfructron orlhe <br /> peAormance ol constiuclion. Thaf I am aufhorized by ths owner o�this rops�fy ro psdorm ths <br /> �vork Ior wnich appiicarion is made and I cornply wlth tNe Sfate Conrrac�rs Caw 78.27 RCW and <br /> ?86.200 WAC. <br /> �''�/l�l�._..� �i /ID/ZU( I <br /> Signature oato <br />