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425-259-2794 01:21:27p.m. 08-31-2015 212 <br /> _41 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 /> POE - PORT MOBILE OFFICE - 15;4 W,25-r Marfn p VI-CUJ 0- <br /> PROJECT ADDRESS <br /> POE <br /> Owner Mall Address City StatefZlp Phone <br /> Tenant Mall Address City State/Zip Phone <br /> Seahurst Electric 2915 Chestnut St Everett WA/98201 425-258-1882 <br /> Electrical Contractor Mali Address City State/Zip Phone <br /> SEAHUE1099QN 18763 <br /> State License Number(required) City of Everett Business License Number(required) <br /> 750.00 <br /> Proposed Use of Building Contract Price of Work <br /> Square Footage(If residential new construction,remodel or addition) Contact PersoniContact Number/Email <br /> Number of devices (If low voltage) <br /> Description of Work to Be Done: INSTALL 50AMP FEED FOR TEMPORARY ELECTRICAL HOOK UP <br /> FOR CMI PHASE 2 PORT MOBILE OFFICE <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> i hereby certify that/have read and examined this application and know the same to be true and �4 <br /> correct. All provisions of laws and ordinances governing this typo 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 1 am authorized by the owner of this property to perform the E U✓ <br /> work for which application is made and I comply with the State Contractors Law 16.27 RCW and 6 <br /> 296.200 WAC. <br /> & V 3i 115 <br /> Si nature Date <br /> REVISED 0d/OG/2014 <br />