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425-259-2794 ":•^.4:45 p.m. 12-13-2016 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 /> 3325 Wetmore Ave <br /> PROJECT ADDRESS <br /> Diego Gavilanes LAL) 425-258-6282 <br /> Owner Mail Address City State2lp Phone <br /> Tenant Mall Address City State/Zip Phone <br /> Seahurst Electric 2915 Chestnut St Everett WA/98201 425-258-1882 <br /> Electrical Contractor Mall Address City State/Zip Phone <br /> SEAHUE1099QN 18763 <br /> State License Number(required) Cit '_ =tt Business License Number(required) <br /> commercial 800.00 <br /> Proposed Use of Building Contract P ce of Work <br /> Jon •vy 425-508-4320 <br /> jnovy@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: Install (2) 20a dedicated circuits <br /> FEE <br /> CiTY OF EVERETT LOCAL SALES TAX CODE IS 3105 r „r • CD <br /> i hereby certify that 1 have read and examined this application and know the same to be true and �1G�P <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 t r 0 <br /> performance of construction. That I am authorized by the owner of this property to perform the E �o l <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> kign-ature(Y. D te�`� <br /> REVISED 08/06/2014 <br />