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10/08/2009 15:30 4252592794 SEAHURST PAGE 01/01 <br /> ,� Q�`� � �,� �$(.oC� <br /> ELECTRICAL PERMIT APPLIC�4TION <br /> , CITY OF EVERE Y T' PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 e� <br /> 425-257-8810 - FAX425-257-8857—www,everettwa.org �� --g�—O �f <br /> APPLIChTIONS ARE ACCEPTED FROM 8 AM TO 4 PM L ����3�' <br /> 10128 23rd DR SE <br /> PROJECT ADp�ESS <br /> Kimberly Dixon 10128 23rd OR SE 6eorett WA/g8208 425-930-2084 <br /> Owner MailAddress CMy� StatelZlp Phono <br /> N/A <br /> Tenant � Mail Adaress City Si9te2ip Phone <br /> SEAHURST ELECTRIC, INC 2915 Chestnut St Everett WA/99201 425-258-1882 <br /> EleclricalCortlracto� MailAddress City StatCIZ'ry Phane <br /> SEAHUE1099QN <br /> State �icense Number Contrea Price of Work <br /> Re�identiai � <br /> Proposed Use of Building Contad Person (Plan Revlew) <br /> Description ot�vo�k to eP�o�,e: Replace Panel <br /> o% <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO ��E / <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> �P8 Q� <br /> CITY OF EVERETT�OCAL SA�ES 7/U(CpDc IS 3105 <br /> !hsreby certify Ihat l have iqad and examined fhis applicetion end know the same to be true and <br /> co;7ect. All provisions of�ews and orcfinances goveming Ihis type of work wil�be completed <br /> �vhether specified harein or not. The gran6ng o1 s permd does not resume to give authoRty(p <br /> violate or caneel the provisions of any otherstate orlocal law reguPatlng conshuction or the <br /> portormance oI constaictron. That l am authonied by�he owner of this A�PeKy fo pedurm the <br /> work for wh/ch application is made and l comply wifh the Stafe Contractors Lew 18.27 RCW and <br /> 296200 WqC. <br /> � p . �g <br /> na / 0 �� O <br /> ate ((J <br />