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425-259-2794 <br />36 p.m. 06-30-2016 2 /2 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8$57 — www.everettwa.arg <br />3325 Wetmore �L. <br />PROJECT ADDRESS <br />Diego Gavilanes <br />Owner <br />Tenant <br />Seahurst Electric <br />Electrical Contractor <br />SEAHUE1099QN <br />State License Number (required) <br />cammercial <br />Proposed Use of Huilding <br />Mail Address <br />Mall Address <br />2915 Chestnut St <br />Mail Address <br />Cily <br />Cfty <br />Everett <br />C(ty <br />Square Footage (If residentia( new canstruction, remodel or addition) <br />Number of devices (If low voltage) <br />425-258-6282 <br />Staie/Zip Phone <br />5tate2lp <br />WA/98201 <br />State2fp <br />Phane <br />425-258-1882 <br />Phone <br />18763 <br />City of Everett Business License Num6er (required) <br />825.00 <br />Contract Price of Work <br />Jon Novy 425-508-4320 <br />jnovy@seahurst.com <br />Cantact Person/Contact Number/Email <br />oeS�r�Paon of work to ee oone: �nstall (2) new 20 amp bneakers and (2) dedicated circuits; One on each ftoor. <br />CfTY OF EVERETT LOCA! SALES TAX CO�E IS 3105 <br />I heraby certify that 1 have read and examined this application and know the same to 6e irue and <br />correct. All provisions of laws and orrlinances goveming this fype of work will be comp/efed <br />whether specified he►zin or noL The granting of a permit does not presume fo give authority to <br />violate or cancel the provisions of any other state nr local law regulating canstrucfion or fhe <br />performance of construction. That I am authorized 6y the owner of fhis property to perfomt the <br />work for which application is made and 1 comp/y wifh fhe State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />, U/ �� r /I�J <br />� /� � : <br />REVlSED 08/Ofil2014 <br />FEE <br />���� �� <br />PERMIT# <br />E i�0� ( -���� <br />