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SERVICE ELECTRIC Fax:360-568-9283 Nov 6 2015 04:49pm P001/001 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—Www.everettwa.gov <br /> 1205 Craftsman Dock 1 -14 <br /> PROJECT ADDRESS <br /> Rudy Karzmar 2720 Hoyt Avenue#518, Everett, WA 98201-3568 <br /> Owner Mail Address <br /> City State/Zip Phone <br /> Same <br /> Tenant Mail Address City State/Zip Phone <br /> Service Electric Co., Inc. P.O. Box 1489 Snohomish WA 98291 360-568-6966#201 <br /> E►ectrical Contractor Mail Address City State/Zip Phone <br /> SERVJEC564RU 029064 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Boat House <br /> Proposed Use of Building Contract Price of Work <br /> Sharon Card sharon@secoinc.com <br /> Square Footage(!f residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices (if low voltage) <br /> Description of Work to Be Done: install 60 amp Service for Boat House <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify that 1 have read and examined this application and know the same to be true and I o <br /> correct. All provisions of la ws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction, That I am authorized by the owner of this property to porform the E <br /> work for which application is made and i comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> 11-06-15 <br /> Signature Date <br /> RE WSED OW062014 <br />