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ELECTRICAL PERMIT APPLICATI�N <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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 1408 Hallow Dale Pl #A <br /> PROJECT ADDRESS <br /> gordan hillstad 1408 Hallow Dale Pl #A everett wa 98201 425-681-4893 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> Bob's Heating 14148 ne 190th st Woodinville wa 98072 800-840-3346 <br /> EleCtriCal COrltraCtOr Mail Address City State/Zip Phone <br /> BOBSHHA850NJ $100.00 <br /> State License Number Contract Price of Work <br /> James Gosnell <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Square Footage(If residential new construction, remodel or addition) <br /> Description of Work to Be Done: LOW VO�tag@ th2ft710Stat Wlflllg <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. s/ . '���� <br /> ;, l 1 u 3 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify 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 comp/eted <br /> whether spec�f�ed herein or not. The granting of a perm�t does not presume to give authority to <br /> violate or canc the provisions of any other state or local law regulating construction or the <br /> performanc o construction. That I am authorized by the owner of this property to perform the <br /> work for w ic application is made and l comply with the State Contractors Law 18.27 RCW and <br /> 296.200 . ——_.-_ <br /> 3/13/17 <br /> ignature Date <br />