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1j� 01:53:39p.m. 04-18-2013 3/3 <br />ELECTRICAL PERMIT ApPLaCATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERET7, WA 98201 <br />425-257-8810 - FAX 425-257-8057 - wv,rw.everettwa.org u`aC� ..� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �'� �{ --�3v <br />905 Madison St <br />PROJECT AD�RE55 <br />Madison Avc PUB <br />Owner <br />Tenant <br />Seahurst Electric <br />905 Madison St <br />Ma7 Address <br />Mail Address <br />2915 Chestnut St <br />EVERETT <br />Ciry <br />Ci:y <br />Evere!t <br />ElecVical Conitaclor Moii Address City <br />SEAHUE1099QN <br />State Licenso Number ' <br />C01dMERCIA! <br />Propase� Use of Bullding <br />Square Footage Qf residenlial new conslrucpon, remodel or additlon) <br />Descriptior. of Work to Be Done: Install (1) 2uA Circult for(7) e:tenorslgn lights <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CNBLE. <br />CITY OF EVEREIT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certlly (haf I have reed end exemined fhfs applfcefio� <br />r.orrecf. All provislons o/laws and ordinancesgoveming fhis <br />�vhe(her speclfied herein or noL The granfing of a permif doe <br />violateorcancelfhe provisionso�anyothersfafoarlocollaw <br />pedormance o/constmction. Thet I am a�rthonmd by the cr. <br />�vork /or �•ihich applieafion is mado and I cem, 'v wdh thc Stv <br />296200 LNAC. <br />,���1�; ,%�5��t) ��- <br />�� <br />_______ _ ____ <br />wA i eezo3 azs3ae-�aoz <br />Slale/2ip Phone <br />Slalerip Phone <br />WA / 99201 425-258-1882 <br />glate171p Phone <br />�zoo.00 <br />Contrac[ Pdce of Work <br />Conlact Person (Plan Review) <br />FEE <br />-�� 5� <br />�to6etrueand �I �O/�-_ I� �, <br />complofed � <br />�o authorify fo <br />fian or the <br />o perform the <br />8.27 RCW and <br />