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4: <br />�—c�y—�iyw <br />UN:UI p.m. �I�I—�IL—LU�IS <br />ELECTRfCAL PERMtT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98209 <br />425-257-B810 - FAX 426-257-8857 -- www.everettwa.org <br />��� � <br />10330 48�� <br />PROJECT ADDRESS <br />_�C�-�"�/1 <br />RSL - Evenett LLC.S�if Point Asst Living 10220 SW Greenburg Rd Ste 201, Portland, Or 98204 503-595-2810 <br />Owner <br />Mail Addrass <br />Radiant Senior Living 10330 48th Ave W <br />Tenant Mall Address <br />Seahurst Electric <br />Electrical Contractor <br />SEAHUE1099QN <br />State License Number (required) <br />2915 Chestnut St <br />Mail Address <br />Multi Famify Residential / Assisted Living <br />Proposed Use of Buiiding <br />City <br />State2ip <br />Everett WA 98204 <br />City 5tate/Zip <br />Everett WA/98201 <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />ciry <br />Stake/Zip <br />Phone <br />Phane <br />425-258-1882 <br />Phone <br />18763 <br />City of Everett Buslness License Number (required) <br />4500.00 <br />Cantract Price of Wark <br />Mike 8ergman mbergman@seahurs�com <br />Ph# 425.359.9363. <br />Contact PersonlContact Number/Email <br />Description of Work to Be Done: �nstall (10) 23W LED lights - altering existing circuits <br />CITY OF EVERETT L.00AL 5ALE5 TAX CODE IS 3105 <br />1 hereby certify fhat I have read and examined this application and know the same to be true and <br />correcf. AI1 provisions of/aws and ordinances goveming this type of work wil! be comp/eted <br />whether specifred her�in ornot. The grantrng of a permit does not presume fo give aufhority to <br />violate or cance/ fhe provisions of any other state or loca/ /aw regu/ating construcflon or the <br />perforrnance of consfruciion. That I am authorrzed by the owner of this property ta perform the <br />work for which application is made and I comp/y with the State Contractors Law 18.27 RCW and <br />29fi.200 WAC. <br />� � <br />� <br />��� i i � 2�- S <br />REVlSED oBiT!!fi/2014 <br />FEE <br />� 1�� ,� <br />/ <br />PERMIT# <br />E I�11— b�b <br />/2 <br />