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Oa-t]-t2: t] : 14PM: :a.=_,25�2ipa a 1. t <br /> ( �. <br /> ELECTRICAL PERMIT ARPLICATION <br /> CITY OF EVERETT PERMIT SERVICES � ,�g --1( <br /> 3200 CEDi4R STREET, EVERETT, WA 98201 <br /> 425-257-8810 = FAX 425-257-8857—www.everettwa.org ��Zv l,(�fl6 3 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 2122 Rockefeller <br /> PROJECT ADDRESS <br /> NElson Haukap 2122 Rockefeller Everett wA/982o� <br /> OWnef � MeilAddross City Slete/Z�p Phone <br /> Tenent MailAddrecs Clry StatelL�p Phone <br /> SEAHURST ELEC7RIC, INC 2915 Chestnut St Everett WA/98201 425-25&1882 <br /> EleclricalCOntractor MailAddrosa � CHy State/Lp Phone <br /> SEAHUEtO99qN 425-754-6077 <br /> Slate License Number ConVacl Prlce of\York <br /> Residential Ross Prather _ <br /> Proposed Use of Building Contect Parson (Plan Review) <br /> �eecr;Puon ot wo�c io ee�one: Install New 200A panel <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> 75.00 <br /> CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 1 1 <br /> /here6y certi/y thaf I have reed end examined tbis applicallon and know tbe same fo be frue and � I ZO L�._ 0 (_ Z <br /> correct. All pruvislons of laws and ordinances goveming thfs typa of xrork wl116e campleted 1 K1 J <br /> whather specified hereln or not. The 8renting of e permi(does notp r ume fo give authority to <br /> vlofateorcanceltha provlslonso/anyathersteteorlocallawregula� ;�consfrucflonorfhe <br /> performance ol construction. Thaf I am aulhorized by fhe ownerolthis property fo perlorm the <br /> work Ior which application Is made and I comply wtth fhe Stafe Contrecrors Law 18.27 RCW end <br /> 296.200 WAC. <br /> » ,�� � �- <br /> �u���> � y%�- � <br /> 5 natura . e1e <br />