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425-259-2794 09:51:56 a.m. 06-10-2016 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 /> 1932 Broadway <br /> PROJECT ADDRESS <br /> Althea's Footwear Solutions <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mall Address City State/Zip Phone <br /> Seahurst Electric 2915 Chestnut St Everett WA/98201 425-258-1882 <br /> Electrical Contractor Mail Address City State/Zlp Phone <br /> SEAH UE1099QN 18763 <br /> State License Number(required) City of Everett Business License Number(required) <br /> commercial 1100. <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: Add separate control for second fan. Run new conduit and wire for(2) new <br /> dedicated quad outlets <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I J <br /> 1 hereby certify that 1 have read and examined this application and know the same to be true and -J <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit dogs 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 I rG <br /> work for which application is made and I comply with the State Contractors Law 16.27 RC W and <br /> 296.200 WAC. <br /> o f J <br /> U ' <br /> g <br /> in ur (( Date <br /> REVISED Od UB/2014 <br />