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4: <br />J-LJ7-L/74 <br />iia.m. i�-ia-�ui� <br />ELECTRICAL PERMIT APPLICATION <br />C1TY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - �AX 425-257-8857 — wvwv.everettwa.org <br />1310 Pacific Ave <br />PROJECT ADDRESS <br />Mike Hagen ( Central 6ady Works ) <br />Owner Mail Addrass <br />Tenant <br />Seahurst Electric <br />Elactrical Contractor <br />SEAHUE1a99QN <br />State Lfoense Number (required) <br />Commercial <br />Proposed Use of Building <br />Mail Address <br />29'15 Chestnut St <br />Mafl Address <br />same <br />Cfly <br />City <br />Eve�ett <br />City <br />Square Faotage (If resldential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />425-259-5101 <br />Siate/Zfp Phone <br />State/Zip Phone <br />WA/98201 <br />State2lp <br />425-258-1882 <br />Phone <br />18763 <br />Ciiy of Everett Business License Number (required) <br />9500. <br />Cflntract Price of Work <br />Dave Elledge 425-258-5128 <br />deliedge@seahurst.com <br />Cantact Person/Contact Number/Email <br />��S�r�Pt�on of worx to Be oon�: Energy Consenration LED lighting Uprade <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � �� y� L'%� , <br />..r� � � <br />I hereby certify that 1 have read and examined this appllcafion and know the sama to be true and <br />correct. A/l provislons of laws and ordinances goveming this tyPe of work will be completed <br />whether specified herein ornot. The granting of a permif does not presume fo give authorrty to PERMIT# <br />violate or cancel the provisions of any other stats or local law regulating construction orthe ��,�� �— ��� <br />performance of construction. That I am authorized by the owner of fhls property to perform the (�� <br />work for which application is made and I comp/y with the State Contractors Law 98.27 RCW and <br />296.200 WAC. �"1 <br />0 <br />REY15El] �BNBIp014 <br />/2 <br />