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425-259-2794 ldwft :41:02 a.m. 03-24-2016 212 <br /> 0- <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 /> 5531 Fleming St <br /> PROJECT ADDRESS <br /> Christina Bus 10311 237rd Ave SE Monroe, WA 98272 425-466-2066 <br /> Owner Mail Address City Statefzip 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 Statelzip Phone <br /> SEAHUE1099QN 18763 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Residential 500. <br /> Proposed Use of Building Contract Price of Work <br /> Ross Prathe 425-754-6077 <br /> rprather@seahurst.com <br /> Square Footage(If residential new construction, remodel or addition) Contact PersonlContact Number/Email <br /> Number of devices(If low voltage) <br /> Description of Waris to Be Done: Repair bent mast <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> /hereby certify that l 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 /> 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 is made and l comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> gnatur Date <br /> REVISED VMV2UT4 <br />