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12/07I2��6 13:58 4252584657 CHESTNUT ST PAGE 01/01 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT. WA AR7(11 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPUCATIONS ARE ACCEPTeD FROM 6 AM TO 4 PM <br /> 3402 Wave DR, Everett <br /> Prtv��cr noe�t�ss <br /> Steve Crawford sam¢ <br /> OwnBr MailAddre6i City Sulefllp Phone <br /> N!A <br /> rcnam n�su naa�a.. c�ry SulaOlp anane <br /> Seahurst Electric INC 4003 Smith Ave Everett WA198201 25's-1882 <br /> ElectncalCOntracior MailAddress Ciry Stale2ip Phone <br /> S[AHUG1099QN 11,002.00 <br /> State License Num6er . Ccntract Price of Worh I <br /> Residence <br /> Pmposed Use ol8uilding Contact Pe�son (Plan Review) <br /> oes��P��o�o�wo�xr�a<n��o Wire new home- 200 Amp Service <br /> NOTE: WIRING IN NON-DWELLINGS IS F2EQUIRED TO FEE <br /> 6E IN RACEWAYS, MC OF AC C/IDLC. ' <br /> $55.00 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hemby cehi7y fhat I ha�e read and ezamined t�is applicetion and know fhe same fo be frue and <br /> cormcf. All prr1 vi5� ns pl laws and ordinanees OOveminq fhis fype of ivo�k wifl be completed <br /> whether specd�etl�iemrn ornof. The granfhm o�a permR tloes notPrC�sume to grve autnonty to <br /> vi0late nr C.7ncol tF,e provisions o/any olRer state or/oC2llaw rx9u ating OonStfuct/on o�tbe <br /> ped��r inCe o!construcfion. That I am authon;.Cd by7he Ownar o!this pmpedy fo pe�lortA fhe <br /> work fo•��hit,b appllcation�s maCe and I mmpiy wifb Ihe SYaIe COnffdctors Law 18.27 RCW snd <br /> '196.'lUU IhPG. <br /> D� <br /> ' S�gnatuie ` � Date' <br /> /,�lZ -��� <br />