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07/20/2006 09:58 4252592794 SEAHURST PAGE 01/01 <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 />APPLICATIONS ARE ACCEPTED FRCM 8 AM TO 4 PM <br />1402 EVERE17 MALL WAY SPACE #122 <br />PROJECT ADDRESS <br />STEADFAST COMPANIES 4343 VON KARMAN SURE 300 NEWPOITr BEACH CA 92660 949.852-0700 <br />Owner Mall Address City Strrtemp Phone <br />FINISH LINE 1402 EVERETT MALL WAY #122 EVERETT WA 98208 425.355-171 <br />Tenant Mail Address City Slateizp Phone <br />SEAHURST 4003 SMITH AVE EVERETT WA 98201 425-258-1882 <br />Electrical Contractor Mall Address city Stater0p Phone <br />SEAHUE1099ON S30,000.00 <br />State License Number Contract Price of Work <br />RETAIL SALES ROBERT TIDWELL EXT 222 <br />Proposed Use of Building Contact Person (Plan Review} <br />Description of Work to Be Done: TI•IMPROVEMENT <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />555D.00 <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have read and examined this application and know the some to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whetherspecilled herein or not. The granting are permit does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or (he <br />performance ofconstruction. That I am authorized by the owner of this roperly to perform (he <br />work for which application is made and 1 comply With the State Contractors Law 18.27 RC W and <br />296.200 WAWAA/C. <br />7/1912006 <br />Sign ure Data <br />E 0607 - r c3 <br />