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425-259-2794 10:46:25a.m. 11-06-2015 2/2 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVjCES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />3411 Oakes Ave <br />PROJECT ADDRESS <br />A-Medical <br />owner <br />Tenant <br />Seahurst Electric <br />Electrical Contractor <br />SEAHUE1099QN <br />State License Number (required) <br />Mall Address <br />Mall Address <br />2915 Chestnut St <br />Mail Address <br />City <br />City <br />Everett <br />City <br />State/Zip <br />StatefZip <br />WA/98201 <br />State2ip <br />Phone <br />Phone <br />425-258-1882 <br />Phane <br />18763 <br />City af Everett 8usiness License Number (required) <br />Commercial 500. <br />Proposed Use of Building Contract Price of Work <br />Josh McCarver Ph# 425-754-0045 <br />j mccarver@seah urst.com <br />Square Footage (If residential new construction, rsmodel or addition) Contact Person/Contact Number/Email <br />Number of devices (If low voliage) <br />o�s�r�Pcior, of woric co Be �one: �nstall 60Amp Disconnect for replacement of heating RTU <br />CITY OF EVEltETT LOCAl. SALES TAX COD� {S 3105 <br />1 here6y certify fhat 1 have read and examined this applicafion and know the same to 6e frue and <br />correct. A/I provisians oflaws and ordinancss goveming this type of work wi(1 be comp/efed <br />whefher speci�ed har�in ornot The granting of a permit does not presume fo give authorify fo <br />viatafe or cance! fhe provisions o( any other stale or /ocal !aw �gulating constn�ction or the <br />performance of construction. That I am authorized by the owner of this praperty fo perform fhe <br />work for which application is made and 1 comp/y with the State Confractqrs Law 18.27 RCW and <br />296.200 WAC. ^ � / �. <br />/ � � /' \ <br />REV15E� OBN6/2014 <br />FEE <br />��'� O <br />PERMTT# <br />E �5c�- ��.o <br />