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ELECTRICAL IT 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 /> 601 Linden St Everett WA 98201 <br /> PROJECT ADDRESS <br /> Everett Housina Authority 3107 Colby Ave Everett WA 98201 425-258-9222 <br /> Owner Mail Address City State/Zip Phone <br /> 601 T i ncien St Everett WA 98201 <br /> Tenant Mail Address City State/Zip Phone <br /> Andgar Corporation pO Box 2708 Ferndale WA 360-366--9900 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> ANDGAC*011L5 <br /> State License Number Contract Price of Work <br /> single family dwelling Ron Neff <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Square Footage(If residential new construction, remodel or addition) <br /> 1 <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done; T-Stat Like In Kind - replace gas furnace <br /> less than 100 000 RTU <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I CO <br /> 1 hereby certify that l 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 presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the I� r� <br /> performance of construction. That I am authorized by the owner of this property to perform the E B <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> ;296,1,21AC, <br /> ' 01/19;2015 <br /> Date <br /> REVISED 3120/13 <br />