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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.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />5025 Willmington Ave <br />PROJECTADDRESS <br />�{q3 � <br />��� <br />�-a- U-o7 <br />C- o�D ��� `� z <br />Ralph Fisher 5025 Willmington Ave Everett WA 98203 azs-zsz•i�oe <br />Owner Mail Addmss Cily SWIu2ip Phone <br />Tonant <br />RAeil Addross <br />City <br />Stnte/Zlp Phann <br />WESCO 2d00 Thorndyke SEATfLE WA 98199 206-378-6649 <br />EleclricalContnctor 6failAddress Cdy Stato2ip ahone <br />WASHIES9710D ex 09/04/07 <br />Slato Liconse Numbor <br />SFR <br />Propased Use of Buildinc� <br />Description oI Work to Bo Done: <br />434.00 <br />Comract Price of Work <br />Contact Person (Plan Raview) <br />electrical for replacement oi electric to gas lurnace and water heater <br />NOTE: WIRING IN NON-DV'ELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1lrercby certily fhnf l l�ave read nnd examined fhis epplication and <br />conecl All provisions o/lmvs end oNinances govemmy fhis type <br />whcfher speci�od herein or noC TAe gran(ing o/a perrnd does nof <br />violalu or cancel fho provisions ol any ofher slafe or local law regu <br />per/ormance olconst�ucfion. Tlrat 1 arn aufhomod by fhe owner o <br />work (or �rhich application is rnado and 1 comply with the State Coi <br />296.200 WF�C. <br />7c' <br />serne fo bo frue and <br />'ll be complefed <br />fo give nufhonty fo <br />sfrudion or U�a <br />eMy to perfomt ll�e <br />.aw 18.27 RCW and <br />FEE <br />