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2n � Sooc� <br /> ELECTRICAL �ERMIT APPLICATIOfV <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everetiwa.org <br /> • �_Cj —/� <br /> � 1501=af � <br /> 10423 16T11 PL W' <br /> PRU.iECT ADDRESS <br /> KIRK COPPLE ]0423 16TH PL W EVER�TT WA, 98204 425-501-5905 <br /> Owner MailAddress City State/Zip Phone <br /> Tenant Mail Address Cily StatelZip Phone <br /> MM COMPORT SYS"PEMS 18103 NE 68TH ST, G200 REDMOND �NA/98052 425-881-7920 <br /> ElectricalContrador MalAddress Ciry Slale/7.ip Phone <br /> MMCOMMC925C5 350 <br /> Slate License Number Contract Pnce o(Work <br /> SINGLB FAMII_Y JANI:T CHEI.GR�N <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Square footage(If residen'ial new consVuction, remodel or addition) <br /> Number of devices (If low voltage) <br /> Description ot Work lo E3e Done: INS'1'ALL A 2 f{LAD llUCfLF.SS NEA7' PUMP SYS'1'Efvt <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �O C� <br /> I hereby r.edily fhat 1 have rcad and examined fhis applicafion and know the;ame fo be We and <br /> corrccf. All provisions ollaws and orclinances goveming(his lype of work will br, completed <br /> whether speci(ed herein ornuL The granfing o!a pemiif daes nof presume fo give aufhonty fo PERMITk <br /> wolafe or cance!fhr. rovisions o/any ol��Cf SI'Ife or local law rogulalin,7 consfnic6on or Ihe � I �I O/�Q <br /> perlomranr,e o!cons ucfion. e�aufhonz�hl�fhe ovmer ol fhis property(o pedonn Ihe � I <br /> worh lor which appli afio -, made and I cornply wi(h fhe Sfafe Ccnfnr.fors Law 18.27 RCW and <br /> 296200 WAC <br /> � — 01/O8/2015 <br />' Signa e Date <br /> rc visc o v.�an <br />