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425-259-2794 :45 a.m. 06-23-2015 2/2 <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.org <br /> 2610 Casino Rd <br /> PROJECT ADDRESS <br /> Frontier Communications <br /> Owner Mail Address City State/zip Phone <br /> Tenant Mail Address City Staterzip Phone <br /> Seahurst Electric 2915 Chestnut St EVerett WA198201 425-258-1882 <br /> Electrical Contractor Mall Address City Stateop Phone <br /> SEAHUE1099QN 18763 <br /> State License Number(required) City of Everett Business License Number(required) <br /> 600.00 <br /> Proposed Use of Building Contract Price of Work <br /> Square Footage(If 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 Pre-terminated Cat 5 cable; run through existing supports <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �% 6O <br /> I hereby certify that I have read and examined this application and know the some to be true and VJ <br /> correct. All provislons of laws and ordinances goveming 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 perform the E <br /> work for which application js made and I comply with the State Contractors Law 18.27 RCW and <br /> 298.200 WAC. <br /> vJ/ <br /> Signat re D e <br /> REVISED 0aVW014 <br />