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<br /> ELECTRICAL pEr��VIIT APPLICATION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, E`!EREI�T, WA 98201
<br /> 425-257-8810 - FAX425-257-8857—www.everetriva.org � I J��
<br />�`r�� APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � I ✓ ` �`'
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<br />�` I 8620 Holly DR, 98208
<br /> i�.�� , PROJECTADDRES5
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<br />�,�� COR Yloldinga
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<br />�4��� Owner ,�J MailAddress City Stale2ip Phone
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<br /> Tenant Mali Address City Stale/Zip Phone
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<br />"�.=`' Seahurst Electric INC 4003 Smith Ave Everett WA/98201 258-1882
<br />� Eled��calGuntraclvr MaIIAtlEfB55 �,ry 5I�l0/Zlp . Phone
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<br />��'" SFAHUE10991aN $3893.00
<br />��:�,�,�;����, Stale License Number Conlract Price oi Work
<br /> Proposed Use of Building Conlacf Person (Plan Reviewj
<br /> . �;° Description of Work to Be Done: Add PIUgS 811d �IghfS
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<br /> n:u NOTE: WIRING IN NON•DWELLINGS IS RE�UIRED TO FEE
<br /> ` BE IN R,4CEWAYS, MC ORAC CABLE.
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<br />:�r $133.79
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<br /> CITy OF F_VERF_TT LOCAI SALES TAX CODE IS 1'105
<br /> I 1 hemby rnrtiry thaf�haw road and examined(his applicotion and Imow tho same to be tn�e and
<br /> correct All pmvlslons oflnws and ordinances goveminq this type of woiic will be completed
<br /> whefher sDeciSed herein or not. The D�anfinB�f a permit dnes nNn msumr in pivv aulhnnry fn
<br /> vforafe or cancel fhe provisions of any olherstafe oNocnl faw regutating cronstruction or fbe
<br /> peAormance olconstrucfion. Thet I am authonzed by fhcr ownar of this properfy(o peKorm the
<br /> werk lor which application is madct and f compfy with fhe Sfafe Confractors La�v 18.27 RCW and
<br /> 296.20 WAC. �
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