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425-259-2794 09:45:00 a.m. 03-03-2016 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 (Office) <br /> PROJECT ADDRESS <br /> Amber Glen Apartments <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 Mail Address City State/Zip Phone <br /> SEAHUE1099QN 18763 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Commercial - Multi Family 750. <br /> Proposed Use of Building Contract Price of Work <br /> Ross Prather 425.754.6077 <br /> rprather@seahurst.com <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: Remove power cord powering exterior light near office door and install <br /> proper wiring. Rewire office receptacles <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> '00(� <br /> T <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 E i D 3 0-3( <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> j( , r <br /> (5013/ 0/ <br /> SigniftV Dat <br /> REVISED CIaNfi/2014 tus2d <br /> /fO, /' (fig <br />