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OB/13/2007 14:34 4252592794 SEAHURST PAGE 01/01 <br /> a <br /> ELECTRIC L PERMIT APPLICATION <br /> CITY OF E ERETT PERMIT SERVICES <br /> 3200 CED R STREET, EVERETT. WA 98201 �_/�—D 7 <br /> 425-257-8810 FAX 425-257-8857—www.evereriwa.org <br /> �0 70�'—�DD <br /> APPLICATION ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 1127 Grand Ave <br /> PROJEC7 AOORESS <br /> Mano AccettofD 1127 Grantl Av tvefett Wql98201 <br /> O�mer Maa Address City State2ip PhOnC <br /> N/A <br /> TanBpl MB�1 Adtlress Clry StNe21p Phme <br /> SEAHURST ELECTRIC, INC 4003 Smith A e Everett WAI98201 425-258-1882 <br /> Electncal Contractor Meil Atldress Ciry State2ip Pho�e <br /> SEAHUE1099qN <br /> State License Number Conuact Price of Work <br /> Residential <br /> Proposed Use of Bullding Cont�ct Person (Plan Review) <br /> Dosaiption W Work to Be Done: CI18l1 6 S@ I IC@ <br /> NOTE: WIRING �N NON•DWELLINGS IS RE IRED TO FEE <br /> BE IN RACEWAVS, MC OR AC CABL , <br /> $75.00 <br /> GITY OF EVERETf LOCAL SAI.ES TA7(CODE IS 105 <br /> I h�mby cortity that I hnve rtad and examirred tnis a plica6on and krrow the same to be true arM <br /> conecf. All prov;srons of faws and ordinances gove mg this qpe ol worJt will be completed ��—'G,� ._ I`�� <br /> wlie(her s�x��ifeJ Lernin��rrvl. 71re yrun6ny ol a rmit does rrot sume fo gNe avthodry ro <br /> violate or carn;al fhv prpNsions ol any ofhe�slate or al law regu�g�pnshudion or fhe <br /> pedurmance oI construet/m. Thot!em authon:ed b the owner of thisp roperty to perlorm the <br /> �wrk for which appliCation is made and 1 compty wi(h the Stafe Contrdchus Law 18.27 RCW and <br /> 2B6.2oo /iC. <br /> � b' 3/D� <br /> gnaturc oele <br />