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,. • <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />I 3200 CEDAR STREET, EVERET T, WA 98201 <br />5005 Wilmmgton Ave <br />PROJECT ADDRESS <br />Gerald Grubb <br />Owner <br />Teranl <br />Mtit Comfort � <br />t`lectrical Con,ractor <br />MMCOMMC925C5 <br />Sta;e Lir,ense Number <br />proposed Use o( 6u�ld�ng <br />425-257-8810 - FAX a7_5-257-8857 — �+n�v everettwa org ��_� G— /7, <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C/ 3/2 �(� � Z <br />5005 W�Immgtnn Ave <br />P,tad AtlC�ess <br />r.ta.i �caiess <br />Everett <br />Crty <br />Gry <br />Inc. 18103 NE 68th St Redmond <br />htan Aamess Gry <br />Destrip�ion ol Wo�k Io Oe Done Disconnect and recor�nect gas fumace. <br />NO1[ WIRING IN NON-0WELUNGS IS REQUIRGD TO <br />B[ IN f2ACEWAYS, MC OP AC CABLE . <br />WA 98203 •125 367 7183 <br />Slalc2io Phone <br />Slate2o nnone <br />W�, 98052 425 881 7920 <br />Stale2�p Pho�c <br />`"56�0 �� <br />CoMiact Vnce ol Work <br />Cr�ia KoraUch 425 766 5838 <br />Contact Pe�son (Plan Rr.view) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />I he�eby cr.rLty lhal I have read and ea�arnined thrs applicahcn and kriow Ihe sarne 7o be liue and <br />co��ect All prov�sions o! la�vs anAoidinancr.s governmg thrs fype of wo�k w�dl be r.ornplefrd <br />ivnelhr,r specfied herem or no� The granGng oI a permd does not presume ro grve aufhonry to <br />violale or canr.el fhe prov�sions ol any olher sf.�fe or lor.al !aw regulahng conshucGon or the <br />perlormance o� conshucfion That I am authonzed by R�e o�vnei o( fhis properiy fo perform fhe <br />�vorp 7or �rh�ch applicatron is made and 1 comply ivilh the Slate Con(racfors Lan� 18 1� RCW and <br />296 200 VI�C. <br />12-4-2013 <br />rre <br />5�� <br />�1312-d�-Z <br />