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425-259-2794 ""'^':19 p.m. 07-01-2015 2/2 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> 8530 5th Ave W <br /> PROJECT ADDRESS Amber Glen Apartments I Outdoor Lighting <br /> Owner Mall Address City State/Zip Phone <br /> Tenant Mail 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 /> Multi Family 1600. <br /> Proposed Use of Building Contract Price of Work <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: Install owner provided lights on 2 carports. <br /> Add light on pole at enturance. Add light on pole by play area. Repair post light by Office. <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 g o <br /> I 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 /> performance of construction. That I am authorized by the owner of this property to perform the t 1, 0-7-� 0 f� <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW andf <br /> 296.200 WAC. <br /> 1/4-Ajnat� Date <br /> REVISED 05106/2014 <br />