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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257•8857 - www.everetlwa.org � _ .7 � � <br />C ► (,��-/3 � <br />711 Wetmore Ave <br />PROJECT ADDRESS <br />KGlly Mardesich <br />Own?r <br />Tenant <br />Andgar. Corporation <br />Electrical Contrac:or <br />ANDGAC*O17L5 <br />State License Number <br />711 Wetmore Ave <br />Mail Address <br />Mai� Address <br />PO Box 2708 <br />Mail Address <br />single family dwelling <br />Praposed Use o( Building <br />Square Footage (If residenlial new conslruction, remodel or addition) <br />1 <br />Number of devices (If low voltage) <br />Everett <br />c�iy <br />City <br />Ferndale <br />City <br />DescriplionotWorkloBeDone: Low vol.Cage wiring to cha <br />to a new naCural gas boiler. <br />WA, 98201 <br />Stale2ip Phono <br />State2ip Phone <br />��A 360-366-9900 <br />State2ip <br />200.00 <br />Contrect Price of Work <br />Conlacl Person (Plan Review) <br />a out an exist: <br />Phonc <br />oil. <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � <br />� ( �07- r3 <br />1 henaby ceifily Iha7 I frave rr.aJ and examined lhis applrcalion nnd know Ibr. same lo br. fn�e and <br />correcf. All provisions ol laws and oidinances goveminy Ihis typr. o/ woik will 6e r.nrnplefr.d <br />wlrMher speci(ied hcrcin or noL 1 he �/ranfrny M a pennil Jues nof presurnc (o give aull tnnfy to <br />violale o� cance/ f7ie provisions ol any ofliersla(e or localla�v reyulafiny conshuclion or llrr. <br />pedormanr.e oi consfruction. Thaf 1 am aufhomr.d by fhe o�vnei nl lhis pmperty lo perfnrm Ihe <br />work lor which applicrihnn is madr. �ind 1 compty wilh !he Sl�ifc Conhaclors I aw I8 27 HCW and <br />296 200 W�C. <br />�,,�� l-7_1-lA <br />-�--�� %� <br />lUre — `— Date - - <br />Hrv�sen »m.i <br />