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4i5-:59-279a - �4t5Gp.m. t2-30-:Ota 2�1 <br /> —�— <br /> ELECTRiCAL PERIMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVIC�S <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-757-8810 - FAX 425-757-B857 —www.0verettwa.org <br /> I —03��s <br /> � <br /> ��yiZ_i�� <br /> 7623 Tyee Rd <br /> ( PROJECT ADDRESS <br /> Kris Schermarn same 425-238-5316 <br /> Cwnar A1all Addm:s Clry Sl.iln2lp Phona <br /> Tenanl Idoll AdCmss Clty Slnte2lp Phana <br /> Seahursl Electric 2915 Chestnut St EVerett WA/98201 425-258-1882 <br /> ElcctncalCOnlractor h'allAddmv� City SlaiaZp Phonc <br /> SEAHUE1099QN �8763 <br /> Stnta Ucanso Number(requiretl) City o(Evorett Busiroes U-onse Numbar jrequlwd) <br /> Residential <br /> Praposed Use o(Builtling Contract Price ot Wark <br /> Square foolage(If rssitlential new canstrucllon,rnmodol cr additian) Conlact Pursan/Contact NumburlEmali <br /> Numbor ol tlavices(If low vollapo) <br /> Oescriplion of Wark to Bc Donu: SONICB p8�le� Cf18�19C <br /> FEE <br /> CITY OF EVFREfT LOCAL SAIES TAX CODE IS 3105 •� S" U�- <br /> I heruby cortily fhaf 1 havo rand and oxaminod thls appllcafion and kno�v fho samo lo ho frvo nnd <br /> cnrtncf. All provlslons o(laws and ordinancos govom/np fhls typn o!�wrk wlll bo compfalod <br /> wholhor spocifind ho�in or nof. Tho grnnf/ng o!a pomiif doos nul pn�sumo fo givo autl�onty fo pERMIT# <br /> vlalafo or cancof fho pmvisions o/any nfhar slafo or local law mgu/oling consfruclion or(ho <br /> porfnrmanco o/consWc(ion. Thaf I am aulhonzod 6ylho ownar o/(h!5 proparty fo ppAorm Ihe E f L��z —�7� <br /> work lor which applicalion is mado and 1 compiy wilh Iho Sfato Gonlydcfors Law 7827 RC W and <br /> 296.200 WlIC. <br /> ��� / /� <br /> ���J .�i�Z�S�G(� /� 3d / <br /> r SignoWm Dolo <br /> HLYISE2f 039M.01� - <br />