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���a-O�.-t 1 :O� �. _ t.�M: <br />� <br />;a=525g2�sa s ti 1 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 �—� S�- II <br />425-257-8810 - FAX 425-257-8857 —www.everettwa.org r' ( D g`�� / <br />Lr ei <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />3711 Rockefeller, Everett, WA <br />PROJECT ADDRESS <br />William Olsen <br />Owner <br />Tenant <br />3771 Rocke(eller <br />Mail Address <br />Mall Address <br />SEAHURST ELECTRIC, INC 2915 Chestnut St <br />EleClriral Contractor Mail Address <br />SEAHUE1099(]N <br />State License Number <br />Residential <br />Proposed Use of Building <br />Everelt <br />Cily <br />Ciry <br />Everett <br />Ci(y <br />oeSc�P��on orwork to ee oone: Add circuits with 5 receptacles <br />NOTE: WIRING IN NON-DWELLINGS IS REQU!RED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />WA! 98201 <br />SlalelZlp <br />Stato2ip <br />WA/98201 <br />Stale2ip <br />Canlract Price of Work <br />Phone <br />Phone <br />425-258-1882 <br />Phone <br />Ross Pralher <br />Conlact Person (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hemby certi/y that 1 hove mad and ezamined fhis application and know fhe same to be true and <br />coirect. All provisions of la�vs and ordinances goveming this type oI work will be completeU <br />whelhcr spcaGed herein ornot The granfing ol a permrt does not presume to give authodry to <br />viola(eorcancelfha provisionsolanyothersfateorlocallawregu/a(ingconstrucfionorfhe <br />peAormance of consfiuclion. Thal I am aufl�onzed by the owner ot fhis property to pe�form (he <br />work !or which applica(ion is made antl 1 comp/y wilh (ho Stafe Contracrors Latv 18.27 RCW and <br />296.200 WAC. <br />i/: /,11. / ,1'7�1L� �"� g/ 5 /�� — <br />FEE <br />$75.00 <br />�4� <br />�' <br />C��� <br />