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425-259-2794 12:08:53 p.m. 09-15-2015 2/2 <br />1 1 z, <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.everet#wa.org <br />-�� �. <br />�� � C� (7 � ��,r --��-�-�--�-� <br />PROJECT ADDRESS <br />� <br />er <br />� <br />a e /U/D ,�. <br />Mall Address <br />Cfty <br />�� 1 y Lc) �A- 1`'� Z 0� <br />State/Zip Phone <br />��..,-..� �/?�=�o�-O yo� <br />Tertant Maii Address Cfty State/Zip Phone <br />Seahurst Electric <br />Electricat Contractor <br />SEAHUE1099QN <br />2915 Chestnut St <br />Mail Address <br />Everett <br />5tate License Num6er (required) <br />/i/'� cc.,-r � ' <br />�� t % <br />P oposed Use oF Buitding <br />`7s D � � <br />Square Footage (If residential new construction, remodel a� addition) <br />Number of devices (If (ow voliage) <br />�escriptlon of Work to Be Oone: <br />CITY �F EVERETT LOCAL SALES TAX CODE IS 3105 <br />City <br />WA/98201 <br />State2ip <br />425-258-1882 <br />Phane <br />98763 <br />City of Everett Business License Number (required) <br />,/o f �n�� <br />Contract P cn e of Waric <br />�a,�, c c ��,.�, -� <br />Contact Person/Contact NumbedEmail <br />�/Zr' 7G p 2973 <br />T k� u�-�' e� S c� �. k � s�', ��m. <br />1 hereby certify that I have read and examined fhis appllcafion and know the same fo be true and <br />correct. A/l provisions of laws and ortiinances govaming this type of work will be comp/eted <br />whether specified herein ornot. The granfing of a permit does not presume to give authority to <br />violate or cance! the provisions of any other stafe or local law ragulating construcfion or the <br />performance of construction. That 1 am authorized by the owner of this praperfy io perform the <br />work for which applrc tion is made and 1 comply with the State Contracfors Law i8.27 RCW and <br />296.20a WAC. �� <br />-//-2a�S <br />REYf5E0 08A1G/2014 <br />V t�t <br />FEE <br />� ���� ��� <br />PERMIT# <br />E ��Cc� — I I � <br />