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425-259-2794 . 00:52 p.m. 03-07-2016 2/2 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 f X03-0 9 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> 3-9-a, <br /> 2941 Chestnut St <br /> Finishing Edge Concrete - Portable <br /> PROJECT ADDRESS <br /> Finishing Edge Concrete-Portable <br /> Owner Mail 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 Mall Address City State/Zip Phone <br /> SEAHUE1099QN 18763 <br /> State License Number(required) City of Everett Business Ucense Number(required) <br /> Commercial-Job Site Portable 1200. <br /> Proposed Use of Building iBil l t P a p Illlell 425-309-2554 <br /> bwaddell(gseahurst.com <br /> Square Footage(If residential new construction,remodel or addition) Contact Person/Con ct Number/Email <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: Install 100Amp feeder, utilize 100Amp breaker in existing panel <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify that I 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 /> ThNO3 �' <br /> performance of construction. at I am authorized by the owner of this property to perform the E <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> /0 <br /> ii <br /> *'*---tfrl ° 747- <br /> Signa = Da <br /> REVISED 09N5/2014 <br />