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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200CEDAR STREET, EVERETT, WA98201 3-5-1-3 <br />425-257-8810 - FAX 425-257-8857 — vAwi.evetettili L /30 -5 "07'7 <br />APPLICATIONS ARE ACCEPTED FROM H AM TO 4 PM <br />203 73RD ST SW <br />PROJECT ADDRESS <br />RUSSLLL 8 ILRRY PALMLR 203 73RD ST SW <br />Everett <br />WA 98203 425-923-0766 <br />Chimer Mail Address <br />City <br />Statelzip Phone <br />Tenant Mail Address <br />City <br />StatMLp Phone <br />WESCO 3909 196th St SW, <br />Lynnwood <br />WA 98036 800-3984663 <br />Electrical Contractor Mail Address <br />City <br />State yip Phone <br />WASHIES9710D ex 09/02/13 <br />$400.00 <br />State License I lumber <br />Contract Price of Work <br />SFR <br />Proposed Use of LAding <br />contact Person (Plan Review) <br />Description of Work to Be Done <br />ELEC FOR FIREPLACE INSTALL <br />NOTE WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cer(ify that I have read and examined this application and know the same to be true and <br />correct All provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granting of a permit does not ppresume to g ve authority to <br />violate or cancel the provisions of any other state a local law regNting construction or the <br />perlormance of construction. That I am authorized by the owner of this property to perform the <br />work for which application Is made and I comply with the State Contractors Law 18 27 RCW and <br />296 200 WAC <br />Ilignelly rlgned by h."'Wo awgea <br />e n n i fe r B u roc e s s I NORD4VT% ITRMI o•t OR71+w(SiPtnA9T <br />,.-N nRn�W(ST 17aM n..enall•pvvJlaµM1rep¢umi uvn <•liS <br />r6j <br />agnaluie[Jnalure I a e <br />FEE <br />50p6 <br />E 1303 -6�-7 <br />