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. - �a,�-�,B7O . �� , � c� <br /> � - <br /> ELECTRICAL PERMIT APPLIC.IATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.evereriwa.org <br /> APPLICATIUNS ARE ACCEPTED F ROM 8 AM TO 4 PM <br /> 2403 W. Casino Road <br /> PROJECT ADDRESS <br /> Verizon 2403 W. Casino Road Everett W�198Z�� <br /> Owner <br /> Ma�l Address Ciry SleteZp Phone <br /> NIA —'— <br /> Tenant Mad Address Ciry State2ip Phone <br /> SEAHURST ELECTRIC, INC 2915 Cheslnut St Everett WAI98201 425•258-1882 <br /> Electncal Contractor MaA AAdress C�ry Slale/Zip Phone <br /> SEAHUE1099QN $20,000.00 <br /> Slate License Number Coniract Pnce of Work <br /> Commercial <br /> Proposed Use o(�uilding Contad Person (Plan Review) <br /> Descnphon of V.�,�k�o ee oo�e� Install new lighting and plugs - <br /> NOT[ WIRING IN NON-OWELLINGS IS REQUIRED TO FEE <br /> BE IN RAC[WAYS, MC OR AC CAE3LE $400.00 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hervhy cerirty thaf I hnve read and exnmined flus applicafion nnd know fhe same fo 6e tn�e and <br /> r�ormcf All pmwsions ol lows nnd ortlinances�ovemrnq fhis type of work will be cromplefed �; (,2��1- �L\� <br /> whclhcr spen6ed herrirn or nof. 7hn�ranhng ol a permd doos notp resume fo give aufhonty fo <br /> wolafr. or canccl fhc provis�ons ol eny ofher stato or local lew regulnting cunsfn�chon or fhe <br /> peAom�ance o/constnid�on. Thaf 1 am aufhonzed by tlro ownor ol this proporty fo podorm fhe <br /> work/or which app6catron Is made and 1 compty wrtli fhe GerNraclors Law f 817 RCW and <br /> 296 AC <br /> ,;=" � �� � �. �7�jS C� <br /> ��� Sign ture Date / <br /> � � � / <br /> �' i�. <br /> ��� �[. �. ��' <br />