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42S-2S9-2794 <br />19 77 p m. 01-08-2015 2 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98.'01 <br />n <br />425.257-8810 - FAX425.251-8857—WWw.evere waakf ' `O9`15 <br />C /r5o/ DI / / <br />403 92ND ST SE <br />PROJECT ADDRESS <br />CORY GOULET <br />Owner <br />Mall Address <br />City <br />Slnallip <br />Phone <br />Tenant <br />Mall Address <br />Oily <br />Slala2lp <br />Phone <br />Seahursl Electric <br />2915 Chestnut St <br />EVerett <br />WAI98201 <br />425-258-1882 <br />Electrical Contractor Mall Address <br />SEAHUE10990N <br />State License Numbm (required) <br />RESIDENTIAL <br />Proposed Use of Building <br />Square Footage (II residential now construction, remodel or addillan) <br />Number of devices (If low voltage) <br />City Slale0p Phone <br />18763 <br />City of Evora" Business License Number (required) <br />300.00 <br />Contract Price of Work <br />Contact Parson/Contact Number/Email <br />DescdptionofwarktneeDone: REPLACE WIRE TO FEED BATH & HALL <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerilly that 1 have mad and examined this application and know the some to he true and <br />correct. All provisions of laws and ordinances governing this typo of work will he completed <br />whether specified homin or not. The granting of a permit does not presume to give authority to <br />violate or camel the previsions of any other stain or local law mgulaling construction or rho <br />performance of constnicllon. That I am authorized by (tie owner of this property to padonn Iho <br />work for which application Is made and I comply with ilia State Contractors Low 18.27 RCW and <br />296.200 WAC. <br />REVISED 0"151011 <br />FEE <br />.7r--)00 <br />rEl <br />T# <br />0)- 0 <br />