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4�',-:55 :794 �`�55 31 a m. 03-2�-iD15 : .7 <br /> ELEC�'RICAL PERMIT APPLI�ATIO�y <br /> CITY OF EVERETT PERMIT SERVIC�$ <br /> 3200 CE�AR STREET, EVERETT, WA 98201 <br /> 425-257-8010 - FAX 425-257-8857 --www.everettwa.org <br /> ��3ns��3� <br /> 1300 �{4th ST SE 3 `"�'C` !S <br /> PROJECT ADDRESS <br /> Comerstone Posthedcs& Ortliodcs <br /> Ownur MnilAdCros� Ci:y SlateZp Phor,o <br /> Tanant 61ai1 Address Clry SL�te.7Jp Phone <br /> Seahurst Electric 2g15 Chestnut St EVerett WA/98201 425-258-1882 <br /> EJecUfcal Ganlractar �dnllAdtlmss City StnIe/ZIp POor.a <br /> SEAHUE1099�N 18763 <br /> Stnto Llcensa Num6er(reryuimd) City of Evoratt Buslress Llconso N�mbor(roquired) � <br /> Commercial 600. <br /> Propcsnd Uso ol Bullding Canlract Price of Wcrk <br /> I <br /> Squaro Footnpo(II rosidontial new ccnsWc;lon, remodel or addilion) Conlad Person/Conlad Number/Emall <br /> Numhar of devices(II low vollac�e) <br /> oescdPuor,or w�rtc to e�oo�o: �d(1) 20amp dedlca6ed dreuft for HVAC I <br /> FEE <br /> CfTY OF EVERETf LOCAL SALES TA7C COOE IS 9705 �O O <br /> I hoioby coruty lhof 1 havo ro�d nnd oxnminnd fhls applicallon end know lhe seme fo bo Wo and � <br /> carmcl. All provislons ollaws and oNinoncos govoming f6is typo a/twrk w!U 6o cornpla(od <br /> whelhnr spac((od hemin or noL Tho grdnfing a!e pomdf doos nol prvsume fo givo au�hanty to PEfiMIT� <br /> violafo or cancoJ tho provi�ians a/any afharstafo ar;owllaw rvgulafing cronstmction o�fho E 1 �D'�- l3� <br /> podomtanco o/cnnslructlon. Thaf 1 am authonzad by lhe ownnrollhis propnrly fo parlorm fhe <br /> work Ior whlch�pplicationls mado and I compty wifh fho Sla(o Contr�clors Law 18.27 RCW and <br /> 296.200 WAC. � <br /> i' � <br /> SipnoWro Data <br /> ��emsai casc n u <br /> i <br />