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425-259-2794 02:58:15 p.m. 03-05-2015 212 <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 /> 3414 B CALIFORNIA ST <br /> PROJECT ADDRESS <br /> Owner Mail Address City StatatZip Phone <br /> Tenant 1 MaRAddress City StatetZlp Phone <br /> Seahurst Electric 2915 Chestnut St EVerett WA198201 425-258-1882 <br /> Electrical Contractor Mall Address City Statemp Phone <br /> SEAHUE1099QN 18763 <br /> State License Number(required) City of Everett Business License Number(required) <br /> COMMERCIAL 3500.00 <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: ADD (4) 20A DEDICATED CIRCLITS FOR COFFEE POT &WAR HO IS <br /> DESK <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify that/have read and examined this application and know the same to be true and �� <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whetherspecifred herein or not. The granting of 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 a <br /> performance of construction. That I am authorized by the owner of this property to perform the <br /> work for which application is made and l comply with the State Contractors Law 18.27 RCW and r c <br /> 296.200 WAC. <br /> mil <br /> Aldo- 3 - 7 -/5 <br /> Signature Date <br /> REVISED 0a VEV2014 <br />