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:42525937D4 p 1/ 1 <br /> OB-O6-11 : 12: 54PM: <br /> � �� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 G ._.�(�—L I <br /> 425-257-8810 - FAX 425-257-8857–www.everettwa.org �i���oa6 <br /> APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM i s� ,f� <br /> �Y <br /> � /6� )°�cl�t �riv.-t �f/'-u�..��' �r/f� y�d Z03 <br /> PROJECT ADDRESS <br /> p i � <br /> � ' ff / �i l �t �3o Gold av...� ,C�.��.�fi C� <br /> ��Yr.ti �cd �cG S� a6 5 `t y _ <br /> Owner Mail Addmss Clty SUWZip �����Phona <br /> Tenant Mail Addrosc Gty SUMJLp Phone <br /> SEAHURST ELECTRIC, INC 2915 CheStnUt St Everett WA/98201 425-25&1882 <br /> Eledrical Conlrador Mail Aedress City Slata2ip Phone <br /> SEAHUE1099QN �� 7�� �� <br /> Steto L(cense Numbar Contre Price of Work /.�2�j-�-.yVg/ <br /> . OaVe I� ne. _ <br /> Proposed Usa e:Ouilding Contact Person ( n Review) <br /> Descriptlon of Watk to Be Done: � �Lt'l�1.0'-L DLG� ��61�9 r"`/��aL"'e <br /> �,� r-c i'v �"' 7`� !s m,r� u n� �,6 a �a 5 � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> 9 �7, oa�. <br /> CITY OF EVERETT LOCAL SALES TA7(CODE IS 3105 <br /> 1 herebY certiy fhaf I havc read and examined fhis epplicafan and know fhe same to 6e hve and • <br /> co�ct. All provislons ollaws and oidinanoes goveming thia lype of wak will De comp/efed <br /> whether specified hereln or not. The granfinp o/e permd does notp resume to gire aufhaity fo <br /> violafeorcancelfhe provisionsolanyofherstateorlocallaw/egulefingconsfructionorfhe <br /> peAormance ol construcfion. Thaf l am eufhoAzed Dy the ownero/fhis proporty fo pe�lortn tl�e <br /> work Ior which applicafion is made and I compty with the State Confrad�rs Law 1&27 RCW and <br /> 296.200 WAC. <br /> /���� ,�������- �y !� // �,i� -��C� <br /> —�- 5,5�a e�. <br />