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.� �__ 4_ u 1.' 1 <br /> 1 O-l.1-09: 1 O:O iAtd: <br /> �. ��. ���15g�b <br /> ELECTRICAL PERMIT AFPLICAT'�ON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEftETT; WA 98201 �p—1 S�—OCj <br /> A25-257-8810 - FAX425-257-8857-www.everettwa.org �OG����/ <br /> / <br /> APPLICATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM <br /> 315 Elm Street, EvErett, WA <br /> PROJECT ADDRESS <br /> Brian Hendrix 315 Elm Street Everett WA/98203 <br /> Owner Ma��Address� Ciry Stale2ip Phone <br /> Tenant n1a�l Addrcss Ci�y SiatN7ip Phona <br /> SEAHURST ELECTRIC, INC 2915 Chestnut Sl Everett WA/98201 425-258-1£382 <br /> Electrical Contractor Mail Address Ciry Sm�e2p Phone <br /> SEAI�UE1099QN _ <br /> State License Number . Convact Price of Work <br /> Residential Ross Prather _ <br /> Pioposetl Use of Building . Conlact Person (Plan Revie�v; <br /> Ucscripllon of Work to Oe Done: C�l8llge '��� /aI11p S@CVIC@ t0 2�� Alll(� SBCVICG' <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> oE IN RACEWAYS, MC OR AC rqgLE. $7rj.00 <br /> CITY OF EVC-RETT LOCAL SALES TN(CODE IS 3105 i s-� /�`r <br /> 1 hereby cortify lhaf I have read and examined fhis applrcafion and knmv fhe same to bo Irue and �-���� v � v �a I <br /> cr irect. All provisions o/la�vs and ordinances governing this type o1 work will bo compleled , <br /> wh,cfher speci6ed herein or noL 7he r�ranfing of a permif does nut presume fo 9ive authonry to <br /> viclate ur cancel fhe provisions o/any other stale orlocol lmi�egulating construc(ion or the <br /> peAormanco ol construclion. That 1 am authnrimd by 1he o�mcr oI fhis proparty to perinim(hc <br /> �vork Ior which applicalion is made anJ I compty�vith the Sta(e Confracrors Law 78.27 RC W and <br /> 7.9u".200Wi1C. / <br /> Y,�1 ���� �D /'� 6� <br /> Sign�lut�— Dale <br />