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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-881 �� - FAX 425-257-8857 — v✓�vw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />10327 19TH PL W <br />PROJECTAODRESS <br />DON DE MERCHANT SAMEASPROJECTADDRESS Everett <br />Owner <br />Tenant <br />WESCO <br />Mail Atldress <br />Mail Address <br />City <br />ary <br />2800 Thorndyke Ave W SEATTLE <br />Electrical Contrador Mail Address <br />WASHIES9710D ex 09/02/11 <br />Sfate License 6lumber <br />SFR <br />Proposed Use of Building <br />Description of Work to Be Done' <br />WA 98204 <br />StatelZip <br />State2ip <br />WA 98199 <br />qty State/Zip <br />$600.00 <br />ELECTRICAL CIRCUITS FOR HEAT PUMP SYSTEM <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, PliC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Contra=t Prica of Work <br />^ontzct Person (Plan Review) <br />I hereby certify that I have reaJ and examined ihis application antl hiw�v the same to be true and <br />carect. All provuions o/la�vs and wdinances govern�ng fh�s type o/wwk will be comple(ed <br />�vhe(her speci/red herern or not. The granting d a permi: does not presume in give au;hordy to <br />vrolafe or cancel the provisions ol any ofher state or local law �cyulating construction or the <br />peAoimance ol construdion. That I am authorized by the otvner o/ this propeity to per/orm the <br />wah Ior whrch applicafion is made and I cbmply wi(h the State ConVactors Law 1817 RCW and <br />296.200 WAC. ;1 <br />6/6/ 11 <br />:^���-i� <br />'� � i.�.� ,. <br />425-353-8996 <br />Phone <br />Phone <br />800-398-4663 <br />Phone <br />FEE � <br />� � `� <br />I�°� <br />