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c:-�E_o5:o2:co.'41: . a2=35o��3a e 3i a <br /> . . . � � � � ��5� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES ��qo 5-v8S <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org S — �5 —Oq <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 1715 Broadway <br /> P ROJECT ADDRESS <br /> Safeway <br /> Ownet MailAdJmsa City Slatu2ip Phone <br /> N/A <br /> Ten�nl Mail Address Cily Slale2ip Phone <br /> SEAHURST ELECTRIC, INC 2915 Chestnut St Everell WA/98201 425-258-1882 <br /> ElecUical Contraclor Mail Addrese Ciry Siate2lp Phone <br /> SEAHUE1099QN $1500.00 <br /> Slate License Number Contracl Price of Work <br /> Proposed Use oi 8uilding Contacl Person (Plan Review) <br /> Description ot Work to ee Done: PI'OVIdB CII'CUII fOC P@t FOOd CO0�81' & fC88Z@i" _ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIR[D TO FEE <br /> DE IN RACEWAYS, MC OR AC CABLE. $9O. 'rJO <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I horeby certify Iha(16avo read and oxaminod fhis epplicafion and know Ihe same(0 6e Irve and <br /> correct. All provisions o/laws and orclinancas governing fhis lype ol work will be completed I <br /> whothe�spacilied herein ur noL Tha yranling ol a Pernul does nof presumo to give oufhonty(o <br /> Wolate or cancc!Ihc provisions�7any ofher slalc oNocal law regulalin�consfrucfion or(hc <br /> performance ol construcf�on. Thaf I am authonzed by fha owner o/fhis properfy to pedorm the <br /> work lor whi application is made and 1 comply with tho S(alo Contractors Law 18.27 RCW and <br /> 296.200 W . <br /> L C <br /> 5/15/09 S_ d S I <br /> Si �AIUIC DOIC �q <br /> U <br />