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._ _ . . . � , : , <br /> � ��a3a �s� <br /> � ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 G � �c� _p� <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM c—o qo 6 -0 3 <br /> 6617 Elliot Way <br /> PROJECT ADDRESS <br /> Mel Goddis 15326 SOIh PI W Edmonds WA/9602v' 425-530•3892 <br /> Ownef M11ai1 Address City Slate2ip Phone <br /> NIA <br /> Ten�tlt A1ail Addtess Ciiy StolefLip Phone <br /> SEAHURST ELECTRIC, INC 2915 Chestnut St Everett WAI98201 425-258-1fld2 <br /> EleCldcal Contractor Mail Address City Sta�olZip Pnona <br /> SF_AHUE1099QN $2,640.00 <br /> Slate License Number Contract Price of Work <br /> Residential — <br /> Proposed Use of Bulldinc� Contact Person (Plan Review) <br /> Descriplion of Work lo Be Done; ReW�re t10U50 <br /> NOTE: WIRING IN NON-DWELLINGS IS R[QUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> $75.00 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> l hereby ceAify thut I have read and ea�aminod lhis applicafion nnd know the same(o be trve and ��'� �.�� (]r� <br /> correct. All provisions ollaws and ordinances goveming this typo ol woik�iifl be compfefed q � - ��� <br /> �vhothe�speci(ed horern or noL Tho gran(in�07 a pemut doos notp resume to give authonty fo <br /> violafe or cancel(ho provfsions of any o(her stafa or local law regulating cronstroction or the <br /> peAonnance olconsfmcfron. Thnt 1 am aufl � wnor o1 this propaRy to peAorm fho <br /> wo�k for which applica6on Is mado an :�mp/y�vilh thc Stafo Contracfors W�v 18.27 RCW and <br /> 2g 200 AC. <br /> L lSJ U <br /> aluro �a�a <br /> 1� <br />