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425-259-2794 12:21:57 p.m. 04-20-2016 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 /> 805 80Th ST SW <br /> PROJECT ADDRESS <br /> Pacific Topsoil same 425-308-1309 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mall Address City State/Zlp 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 10000. <br /> Proposed Use of Building Contract Price of Work <br /> Square Footage(If residential new construction,remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(If low voltage) <br /> Phase Three- Energy conservation lighting retrofit <br /> Description of Work to Be Done: <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that/have read and examined this application and know the same to be true and <br /> connect. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or riot. 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 lam authorized by the owner of this property to perform the E � f .- M <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and - <br /> 296.200 WAC. <br /> SignatJre: <br /> Date <br /> REVISED 051062014 <br />