Laserfiche WebLink
1?5 �255-779L 01�.07 17 p ni OH-06-d015 2 �2 <br /> ELECTRICAL PERMIT APPLICATI�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 982D1 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> � I SO 8--0�Z <br /> ���`� S <br /> 905 40th St <br /> PROJECT ADDRESS <br /> Rebecca Evans same 4252386005 <br /> � <br /> Ownur MallAdamss Cl;y SWIe2ip Phcno <br /> Tenant IAallAddress Clty Slato2lp Phonu <br /> Seahursl Electric 2915 Chestnut St Everett WA/98201 425-258-1882 <br /> EleclncalCaniractor MailAdtlrr.es L'Ity Slaln/TJp Phono � <br /> SEAHUE1099QN 18763 <br /> S;alo Llcnnso Numhar(required) City af Everett Bua'rass Licenso Numher(raquirod) <br /> $500 <br /> Proposed U�e ol 6uildinB Cantracl Pdcn of Work <br /> 4257546077 <br /> Ross Pratherlrprather@seahurst.com <br /> Square Footogo QI rosldontial now construction,remodal or adClUcn) Contac;ParscnlConlact NumSedErnall <br /> Numbor af devices Qf low vollage) <br /> Oescriptlon of Werk to Be Oone: <br /> /�dc'� Ci�Ct���� � /�i fctlLa.�t F laccr�cf'vr, r�rrm <br /> FEEI]� <br /> CITY OF EVEREIT LOCAL SALES TNC CODE IS 5105 �}}� '�O �6� <br /> .t�. J � <br /> I hort�by cartity�hal l huvo road and nxuminnd(hls appliwflon and know fha samo fo bo truo and <br /> corrvct. All provlslnns o(laws and oNinancas govoming fhis typo of worN will bo complolod <br /> wholhorspocifiod hordin ornoL Tho grantinr�of o pomiit doos nof prosumo fo givo ailhonty ro pERM1T� <br /> v,'o/a(oorcancalfhoprovisiansolonyofharsfaloorlocallawmgulalingconsWcfionorlho ^ ��q _ �� <br /> pvfomrarca o/consirut(ian. Tha(I am authonmd by Ihu ownor ol this prvparty(a paAnrm(hn t (J <br /> woik rvr which oppllcolion is modo and I comply wilh lho Stafo Conlrac(ois Law 18.27 RCW and <br /> 296.Y00 WAC. <br /> _�,r�� ��u�t� �-� -l5 <br /> Sipnalur pele <br /> RCY6EO:s:32m� <br /> , I <br />