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425-259-2794 01:49:29 p.m. 08-27-2015 212 <br /> ELECTRI AL PERMIT APPLICATION <br /> OITY-OF- EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257=8 7 www.everettwa.®rg <br /> Sae a'� W D ouga<< '4ve <br /> PROJECT ADDRESS n <br /> ww weAlS KiI(Wo r�k - (�1'i aef : JS Me- e5kla <br /> Owner Mall Address City State/Zip Phone <br /> Tenant Mall Address City State/Zip Phone <br /> Seahurst Electric 2915 Chestnut St Everett WA/98201 425-258-1882 <br /> Electrical Contractor Mail Address city State/Zip Phone <br /> SEAHUE1099QN 18763 <br /> State License Number(required) City of Everett Business License Number(required) <br /> &V/n&-eld Y5O ' <br /> Proposed Use of Building Contract Price of Work <br /> �ttkt° �Gr��xan-��4. �l.?5�359.93r3 <br /> Square Footage(if residential new construction, remodel or addition) Contact rson/Contact Number/Email <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: Sl` C3 <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I �1, <br /> I hereby certify that l have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type 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 l am authorized by the owner of this property to perform the E � �'� <br /> work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> 7/5 <br /> Signat Date <br /> REVISED OW 612014 <br />