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03-29-i2: tU: t�nM: :n�5]59i�5� a ii i <br /> � ` <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES �p <br /> 3200 CEDAR STREET, EVERETT, WA 98201 3/�''//�Z <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org /• ��3 .15,� <br /> C" <br /> APPLICATIONS ARE ACCEPTED FRUM 8 AM TO 4 PM <br /> 3621 Broadway, Everett <br /> PROJEC7 ADDRESS <br /> Starbucks 3621 Broadway Everett Wq/ggpp� <br /> Owner MallAddre55 Ci�y SlaleZp Phone <br /> Tenant MailAddreas Ciry State/Gp phona <br /> SEAHURST ELEf,�TRIC, INC 2915 Chestnut St Everett WA/98201 425258-1882 <br /> ElectrlcalConVactor MallAddroas City S�aterzip Phone <br /> SEAHUE1Q99QN $150.00 <br /> S�ate Llcense Number Conlrad Price of Work <br /> Commercial Jayson Attinelli <br /> Proposed Use ol Building Contect Person (Plan Review) <br /> oes«iPuo�orwo��o ee oo�e: Install branch circuit extension for receptacle for drive thru timer <br /> � <br /> NOTE: WIRING IN NON-DWELLINGS IS REDUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> $50.00 <br /> CITY OF EVERETT LOCAL SALES TAX CO�E IS 3705 <br /> l hereby carfily thal I hava rond and examined fhis appNcn(ion end know fhe same fo be Iruo and �I2�3 — � ��1 <br /> correct. All provisions ollaws and ordinances goveminq lhis type ol work will be completed ] <br /> whether speci�ed herein or not The granfing o/a permrt does nof rasume fo give authoriy to <br /> vlolafe or cancel(he provisions olany other sfate or locallaw reguPting constructlon or tlre <br /> � peKormance ol consiructlon. Thaf/am eufhonzed 6y fhe owner o/fhis propeRylo perform the <br /> work for which applicalion is made and I comply wi(h!he Sta(e Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> � i-. l <br /> �� :'1�'l/. �V 3/29/12 <br /> � oigna u{ re/ 00te <br /> l/ <br />