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' SC� 1 7 S <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �� ��; 3—(J� <br /> �n.�4iO—C�ly <br /> 6019 Manor PI <br /> PROJECT ADDRESS <br /> Ken Brethauer 6019 Mancr PI Everett WA/98203 <br /> Ownef Mail Address Ciry Stale2ip Phone <br /> N/A <br /> Tenant MailAddress City SWtefZip Phone <br /> SEAHURST ELECTRIC, INC 2915 Chestnut St Everett WA198201 425-258-1882 <br /> Eledrical Coniredor Mail Address Ciry SlatelZip Phone <br /> SEAHUE1099QN <br /> State License Number Contrad Price of Work <br /> Residential <br /> Proposed Use of Building Contact Person (Plan Reviewl <br /> ��Sc�Pi�on orwo�k io se oo�e: Kitchen remodel- add can lights and plug strip for countertops <br /> NOT[: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. $7�j.00 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �/ <br /> 1 here6y ceAily that i have read and examined this application and know the same to be true and �� �' �� / <br /> correct. All provisions o/laws and ordinances goveming this rype o(work will 6e completed <br /> �vhetherspecified herein ornot. The granting o/a pertnrt dces not iesume to give authonty(o <br /> violafe or cancel fhe provisions oI any other sfafe or local law reguPting construcfion or the <br /> pedomiance olconstruchon. That 1 am authonzed by the ownero(this property to peAorm the <br /> woilc lor which applicafion is made and I comply with fhe State Contrac(ors Law 08.27 RCW and <br /> 296.200'vV . <br /> � ( / �3� c�g <br /> Si nature Date <br />