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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERIl4lT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—wwv�.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 9305 11 TH AVE W <br /> PROJECTAGDRESS <br /> MICHAEL DARBY 9305 11TH AVE W Everett WA 98204 d25-218-185�1 <br /> Owner tdailAddress Ciry StatJZip Phone <br /> Tenant Mail Address Ciry StatelZip Phone <br /> WESCO 3909 196th St SW, Lynnwood WA 98036 800-398-4663 <br /> Electricat Contrac[or hlail Address City Statzrip Phone <br /> WASHIES971rJD ex 09/02/13 $525 <br /> State License Idumber Contract Price of Work <br /> SFR <br /> Proposed Use of Ruilding Con[act Person (Plan Review) <br /> Description of Workto Be Done� — <br /> GLEC FOR HGAT PUMP INSTALL <br /> f IGTE WIRING IN fdON-DWELLIf�IGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. / � �G <br /> G� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I heieby ceiii/y ihat I have reetl and examinetl(his applicaiion and know the sama ro be irue and � <br /> carecf. All provisions of/a�vs ano ortlinances governing thrs type o(�vork�vill be completeJ C I ��(.� ( ` ��� <br /> c�hether specdied herz�n or no[ The granting ol a permrt does notPresume to give aurhonry to I <br /> vrola(e or cance/the provisions o/any other stare or locai�aw re�u a�ing construction or Uie <br /> pErformance ol construction. Thai I am ruthorizetl by the o�vner of this propeiry to perlorm the <br /> i� � �ak(or u�hich application rs made and I comply�vith the Sfafe Coniracfors Law 182i RCW antl <br /> 296.200 WAC <br /> U�ylt+lly�igned LY lanni!ei Owgess <br /> J e n n i fe r �u rg e s s ❑k m-lanni!ei llw<p•ss o-NORTIi\VFSTPERht1T. <br /> �-noivn:war r[iv,�ur.,����.���-��•�,�,��r,.�,:�,,.�i:.,���,��.�:���.�-us <br /> �,�� <br /> 9gnature ate <br />