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� . -. _ -,_ . : i i : . �..i�: <br /> . ."" " ' :_ v i, i <br /> � r� �l� O�-G� <br /> ELECTRICAL FE�NlIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8610 - FAX 425-257-8857—www.everettwa.org <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM l z-"! �� --G SS' <br /> C U ��Z_U`-I � <br /> 1231 GRAND AVE <br /> PROJECTADDRESS <br /> Bob Bertilson 4694 S SOUTHSHORE DRIV[ Anacortas Wq/gg22� 360-466-3303 <br /> Owner Mail Address Cil <br /> Y StatelZip Phone <br /> N/A <br /> Tenanl MailAddress Clty Stata2ip Phone <br /> SEAI-IURST ELECTRIC, INC 2915 Chestnut St Everett WA/98201 425-258-1882 <br /> ElectriC3lCoNractor MoilAddress City State2ip Phone <br /> SEAHUE1099QN <br /> Stale License Numher Contract Price of Work <br /> Residential <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descnption orwork to De Done: Change Panel <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> B[ IN RACEWAYS, MC OR AC CADLE. <br /> ��rJ.�� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 /�7 <br /> !hereby certilylhat I hnve road and examined U�is applicafron and knowlhe samo to bo frue and �vc'J � �- � ��� <br /> correct. All provisions ollaws and ordinances govemma th�s typo o)work will bo compfefed <br /> �vhofherspeci�ed herein ornot Tho grsnting oJa pemuf does not iesume to�ive authonty fo <br /> -:olafe orcancol tho prnvisions ol any otherstate orlocallaw reguPating construc�ion orlhe <br /> pedormance ol consfnictron. That I am authonzed by fha owner ol fhis property to peAonn tho <br /> n�ork lor which application is made and I comply wifh the Stafe Contrecfors W�v 18.27 R.,W and <br /> 296.200 WAC. � � <br /> c � <br /> S' at re Datc <br />