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O1/25/20�7 13:36 4252584657 <br />I <br />CHESTNUT ST <br />PAGE 01/O1 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVER�TT PERMIT SERVICES <br />3200 CEDAR STREET, EV[RETT. WA 98201 <br />425•257-8810 - FAX 425-257-8857 - www.everettwa.org <br />— APPLICA710NS ARE �ccEPTED FROM 0 AM TO 4 PM �� 7 Q I� /� l` <br />3333 16th <br />�ROJEC�iADDRESS <br />Mid City <br />Owner <br />NlA <br />Tenart <br />SEAHI <br />Electrical <br />Mail Addross <br />nnaii naaress <br />ELECTRIC, INC 4003 Smith Ave <br />,.�,,,,. � <br />Proposed Use oF <br />Mau naare;s <br />avork �o ae oo�e Install meter base <br />NOTE: �RING Ifv NON-DWELLINGS IS REQUIRED TO <br />B IN RACEVVAYS, MC OR AC CARLE, <br />CITY OF E C-R[TT LOGAL SALES TAX CODE IS 3'I05 <br />I hereBy ce i(y thel I have read snd ezamined Ihrs appli�a6on ani <br />cromrcf. Ail rovisioos of laws and oNinances goverrnnp this type <br />n�hethersp ifiedlreieirr or noL 7be yian(iny u(a parnul duna� n� <br />vi0lete or c ncel the provisinns ot any ofher state or local law reg� <br />pedormancH Of COnstruc(ion, Tha(1 att7 aufhorized by the owner i <br />tvork for wh(ch epplicetion is made and I cemp!v with fhe Sfa(e Q <br />Gity <br />r.iry <br />Evereri <br />StatelZip phonc <br />Stete2ip <br />WA/9A201 <br />City SlatelLp <br />950.00 <br />Contract pr'ce of Work <br />ContaIX Pereon (Plan Review) <br />now fhe same fo be frue and <br />nes�ielobyrved�lho��d ro <br />finq mnstruction or the <br />�hrs pmperty fo pedorm fhe <br />raC[ors La�v 18.27 RCW end <br />i/as � 7' <br />oaie — <br />�'aS��sa ��qo� <br />Phono <br />425-258-1$82 <br />Phonc <br />FEE <br />$5G.00 <br />�i��i�i`� J I <br />