Laserfiche WebLink
425-259-2794 � 0�:12a.m. 12-06-2016 2/2 <br />ELECTR[CAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVtCES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8610 - FAX 425-257-8857 — www.everettwa.org <br />2308 Jade Ave <br />PROJECT ADDRESS <br />Tom Levin <br />Owner <br />Tenant <br />Seahurst Electric <br />Electrical Contractar <br />SEAHUE1099QN <br />State License Number (required) <br />Proposed Use of Building <br />same <br />Mail Address <br />Mall Address <br />2915 Chestnut Si <br />Mail Address <br />City <br />City <br />Everett <br />City <br />Square Footage (lf residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />State2ip <br />State2ip <br />WA/98201 <br />StatelZip <br />Plione <br />Pf�one <br />425-258-1882 <br />Phone <br />18763 <br />City af Eve �s}�s�e Number (required) <br />� <br />/ <br />Contrac ark <br />Contact Person/Contact Number/Email <br />�escripcion of wor� co ae oone: Repair/replace bumt wir�e between meter and panel. URGENT - PUD HAS <br />Temporari[y shut pawer <br />CITY OF EVERETT LOCAL SALES TAX CODE 15 3105 <br />1 hereby certify that 1 have read and examined this application and know the same to be true and <br />correct_ Al! provisions oflaws and ordinances goveming this type of work will be completed <br />whetherspecified herein or noi. The granting of a permit does not presume to give authority fo <br />violate or cancel the pmvisions of any otherstate or local !aw regulating construction or the <br />performance of consiructlon. That I am authorized by the owner of this property to pertom� the <br />work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />; / � �' /' � <br />j�i-/��- <br />Date <br />REVISED 08N6/2014 <br />FEE <br />�� �— <br />PERMIT# <br />E �C�C2--0� <br />