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425-259-2794 <br />12:58 09 p.m. 06-10-2014 2 ; 2 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — vnvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />((5 Dmn V� , ,� I �a l <br />PROJECT ADDRESS <br />1 �`c' 750 <br />Ald lawts I nuPsfmnA ru2o ast I1b F�ti�e �'� , t li�9 -7-7a�n <br />Owner MaIl Addmss City Slalar➢p Phone <br />-p o rn har-it ak <br />Tenant Mat Address City S;alelZip Phone <br />Seahurst Electric 2915 Chestnut St Everett WA / 98201 425-258-1882 <br />Electrical Contractor M11e11 Address City Slnla2p Phone <br />SEAHUE1099QN 2_3o_0,r'- <br />Slate License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Square Footage (11 residential now construction, <br />' remodel or addition) <br />Description of Work to Be Done: 4 l a ") L100r I (C j]-U Y1 fl P <br />wa Ll f2ac <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. // T <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have mad and examined this application and know the same to be true and <br />correct. All provisions allows and ordinances goveming this type of work will be complotod <br />wholhor spocified herein or noL The gaintirg Ora pariah does not resume to give authority to / l <br />violatnoreancelthe pmvlsionsofany other state orlocal law reguPfingconstruction orthe <br />podormanco of construction. That lam authodmd by ilia nwnor of this ppmpurty to porform the <br />wmk for which application Is made and I comply with ilia State Contmc/ors Law 18.27 RCW and <br />296.200 WAC. <br />��Slgnalu✓ Dale <br />