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02/25/2008 14:19 4252592794 <br />SEAHURST <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9gz01 <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 Mail Wa , Ste 165 <br />PROJECT ADDRESS <br />Everett Mall <br />Ow�72� <br />1402 SE Everert Mall Way <br />Mail Atldfess <br />Everett <br />ciry <br />State/ZiP <br />PAGE B1/01 <br />5 <br />(=0gU2—I�rJ <br />Phone <br />Per(umeria 2615RainierAve Everett WAI98201 425-344=4886 <br />Tenant <br />Mall Address Ciry State2ip � Phone <br />SEAHURST ELECTRIC, INC 2915 Chestnut St Everett WAI9B201 425-253-1882 <br />Electncal Cont�actor Mail Address ��b <br />StatelZiP Phone <br />SEAHUE1099QN <br />State License Number <br />Comercial <br />Froposed Use of Building <br />oescri��ion ofwo�k co ee oone� Add receptacles <br />NOTE� WIRING IN NON-DWELI.iNGS IS REQUIRED TO <br />B'e IN RACEWAYS, MC OR AC CABLE. <br />C�T( OF EVERETT LOCAL SALES TAX COOE IS 3105 <br />I hernby ceRify th;t 1 have mad and examined this applica <br />corrrrct AI! pnwisions of laws and oNinancos goveming <br />whefherspecilied herein or not. The granting of a permr� <br />violafe or cencel the provisions of any other stt+te or local <br />wo� for wh,ah opplreshon�s mahde and ! cotmply w th th�ee <br />29G.20D VVqC. <br />$900.00 <br />Contract Price of Work <br />Contact Person (Plan Review) <br />� same to be true and <br />vfll be comp/afed <br />� to give authonty to <br />�shudian or the <br />oerty to perform the <br />Law 78.2� RCW and <br />.t�'�n%�.�o . �a.rS`/O �' <br />FEE <br />$69.50 <br />�O��z-!�S <br />