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' . - . . . . . . . :n]5359]O94 + ti t <br /> i � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C[DAR STREET, EVERETT, WA 98201 �� .-/7 "�� <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org �/O��` 0�/ <br /> d <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 2122 Baker, Everett, WA <br /> PROJECT ADDRESS <br /> �;/O Lamouroux Realty 2�12 Daker Everett WN 98201 <br /> Owner Meil Addross City Slale2ip Phone <br /> Tenanl Mall Add�ass Gry Slate/Zip Phona <br /> SEAHURST EL[CTRIC, INC 2915 Chestnut St Evorett WA198201 425-258-1882 <br /> ElecVicalContractor �dailAddra., Ciry SIa�eQlp Phone <br /> SEAHUE1099QN <br /> Slale License Number � Contract Price of Work <br /> Residenlial Ross Pralhor <br /> Proposed Use of 8uilding Conlact Person (Plan Rcvlew) <br /> Desaiplion ol Wark to�e Da�e; SBfVICO Cllc'1f196 �i <br /> NOTE: WIRING IN NiiN-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CAEiLE. <br /> $75.00 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br /> I hert�by r.eri�ly fha(1 have m.ad ard oxanrinod fhis application nnd know fhe s3me fo bo Vua and <br /> conocL AN provisions o//aws end oNinances��vommg Ihis fypa ol work will be mmpfeted <br /> whdlhm sp�cdicd Im�ein oi naf. I ho granhag o!n ppmrd doos nof piesume fo give aufhonty(o <br /> viola�e or cancol(hc provisions o7 nny cthor st��o or locallaw rogulafiog consVuc7ion or the <br /> perlo�manco o!mnsfrucfion. That I um authon:ud Gy(ha owncr o�fhis property fo poAo�m(ho <br /> �vork lar wfucl��pplicat�on is made and I comp/y wifh Ihe Sfa(e Conlructois Law 18.27 RCW and <br /> .96 200 WAC. <br /> , /� 1 n <br /> �l l.1 <br /> i�'7� � // /7 /� 11, i <br /> Signatw+ Cate <br />