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425-259-2794 12:09:41 p.m. 06-09-2016 212 <br /> wo <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 /> 7424 €Aeeen Way, Suite B <br /> PROJECT ADDRESS Ben Wang <br /> Zakk's Smoke and Beverage 7424 Everegreen Way, Suite B , Everett, WA 425-212-9986 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> Seahurst Electric 2915 Chestnut St Everett WA/98201 425-258-1882 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> SFAHUE1099QN 18763 <br /> State License Number(required) City of Everett Business License Number(required) <br /> commercial 500.00 <br /> Proposed Use of Building Contract Price of Work <br /> Dave Elledge 425-754-3456 <br /> delledge a�seahurst.com <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: provide labor to install (16) 2x4 troffer Retrofits kits and (12) Cooler strip kits <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 4�'•� �'— <br /> /hereby certify that/have read and examined this application and know the same to be true and ����1111 V� <br /> correct. All provisions oflaws and ordinances governing 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 cons tru clion. That I am authorized by the owner of this property to perform the E <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> / -16 <br /> Signa r Date <br /> REVISED Oa/062014 <br />