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07/12/2007 11:08 4252592704 SEAHURST <br />I <br />PAGE 01/01 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, FVFRFTT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />1402 SE EVERETT MALL WAY <br />PROJECT ADDRESS <br />Everett Mall <br />Owner Mal Address City State/zip Phone <br />Verizon <br />Tenant Mall Addraac r;ity StaterZp Phone <br />SEAHURST ELECTRIC, INC 4003 Smith Ave Everett WAI98201 425-258-1882 <br />Electrical Contractor Mail Address City Stalezip Phone <br />SEAHU1-1 UyyGIN <br />State License Number Contract Price of Work <br />$5.000.00 <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to De Done: Provide Power for Kiosk <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />$167.00 <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I he eby certify that 1 have read and examined this application and know the same to be true and <br />rrrmr.L' All provisions of laws and oniinanres 0 veming this typC of work wltl be Completed <br />whetherspeafied herein ornot. The grant+ng o�a permd does note he <br />to give autnonry to <br />violate or cancel the PPrevisions of any ofhersfate orlocallevr regulating cons mctron or the <br />peyrformance ofcvnstruction. That I am aulhonzed by the avvnerof this property fo perform the <br />296 ZO WAC. application rs made and 1 comply with the State Confracrors Law 18.27 RCW and <br />ignalure Dale <br />