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425-259-2794 02:54:29 p.m. 11-25-�2015 2/2 <br />ELECTRICAL PERM[T APPLICATION <br />CITY OF EVERETT PERMIT SERV(CES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />� � / � <br />_ l' ��O Gt/. "/�e'i�.�`/�f L���✓ � <br />PROJECT ADDRESS <br />i!/� ,-� 6/� �. �.�` ��� <br />���� �v� /� /'���C� � ��i-�i7 <br />Owner ���/-�' Mail Address City <br />�9 �� �� �1�`�� <br />�� q <br />State/ZIp Phona <br />\ � �J� <br />"�enant Mall Address City State/Zip Phone <br />Seahurst Electric <br />Electrical Contractor <br />SEAHUE1099QN <br />2915 Chestnut St <br />Mail Address <br />Everett <br />State License Numher (requlred) <br />����C-G-/��1��_/��� � <br />Proposed Use of Building <br />.�/� <br />Square Footage (If residential new canstruction, remodel or addition) <br />-�/�. � <br />Numb re oF devices (If law voliage) <br />Descriptfon of Work to Be Done: <br />.�C �//% ` <br />� � <br />CITY OF EVERET7 LOCAL SALES TAX CODE IS 3105 <br />� <br />Ciry <br />WA/98201 <br />State/Zip <br />425-258-1882 <br />Phone <br />18763 <br />City of Everett Business License Num6er (required) <br />�i�d ��'� <br />Cantract Price of Work <br />�^�/����!rf��� <br />Contact Person/Contact Number/Email <br />.�"�c✓ � �� -- -��- �` <br />1 heraby ce�fify fhat I have read and examined fhis application and know the same to be true and <br />correcf. Afl provisions of laws and ordinances goveming this type of work will be comp/efed <br />whethe� specified herein ornof. The granting of a permit does not presume fo give authority to <br />violate or cance/ the prnv)slons of any other state or local law regulafing construciion or fhe <br />pe�formance of construction. That I am authorized by the owner of this property fo perform fhe <br />work for which application is made and I comply wifh fhe 5tate Contractors Law i8.27 RCW and <br />296.200 WAC. <br />�e � � ( l IN`�ct��GL <br />RENSED Ofl/Ofir201� <br />//�/�-�'`�//�-�- <br />� <br />FEE <br />� � � , �./ <br />PERMIT# <br />E�S���Y�� <br />