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:2>-:°�5-?7iA "• !7�i7pm 1:-�3-1Glt 2 -2 <br /> ELECTRICAL PERMIT APPLICATfON <br /> CITY OF EVERETT PERMIT SERVICES <br /> i 3200 CEDAR STREET, EVEREl7, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—vnvw.evorottwa.org <br /> � <br /> � /lfl2—o�q I <br /> 1207 Hoyt Ave <br /> �� , y -ly <br /> PROJECT ADDRESS <br /> Jann Primozich 1918 Rucker, Everett, WA 982001 360-630-6163 <br /> owner Monnadmss ciry S�amr�F Phano <br /> TOnant IdallACd�ess Clty StamZp Phonn <br /> Seahurst Electric 2915 Chestnut St EVerett WAI98201 425-258-1B82 I <br /> iElectrcalCanlractor MNIAddms, City Sz'e/Zlp PCene I <br /> � SEAHUE1099aN 18763 <br /> IStata Llconao Num6ar�requlrotl) Clly af Evnratl Bu„nesa Llcunse Number(required) <br /> RESIDENTIAL <br /> Praposed Use af Building Conlmct Prca o(Wcrk <br /> i <br /> j Square Foolago(I(rusldonlial now con,truc4on, ramodel or atltliUcn) Conlact Porscn/Conact NurnbudErnuil <br /> � <br /> humber ol davlce9(Il low voltngaJ <br /> nascrtpunn ot Work to ee oonc: MAKE CORRECTIONS PER INSPECTION REPORT - MISC ELECTRICAL <br /> UNDER 1000 SQ FT <br /> FEE <br /> CITY OF EVLREIT LOCAL SALES TAX COOE IS 1105 '-7�QO <br /> 1 homby car}iIy fhaf 1 havo/oad and oxaminod Ihls upplicAlion and know fho samo(o bo fruo and / <br /> corrocf. NI p�ov/slons ollaws and ordlnancos govoming Ihls fypo olwark wiil6o cromplofod <br /> who(hor spocifiod huroin ornof. Thn grunling nf e pormlf dnes nat p�osumo fo givo aulhonty lo PERMCf# <br /> vlolnlo ar cancal Ihn provlsions ol any other slale orloca!law rvgulafing consWcllon orfha ^ � , I I� r h I n <br /> pudormanc�o/construcfion. That I am nufhonzad by(An ownn�o/this proporty(o porlorm tlio t �� U ` I <br /> work for which applicafion is mado and 1 compfy with fho St�to Confraclors Law iB.27 RCW and <br /> 296.200 WAC. <br /> i <br /> � <br /> �� ' �U �,�•3•/� <br /> , � �o�o <br /> Lnn�smcsce:rou _ _ <br />