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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 /> . l o eytyatt WA vol <br /> PROJECT ADDRESS' <br /> RNY 410 CALA <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip 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 /> 4y 5& � I I <br /> Proposed Use of Building Contrac Price of Work <br /> Square Footage(If residential new construction, remodel or addition) Contact Per on/Conta Number/Email <br /> Number of devices(If low voltage) y� (,�/� ��l�` ]Description of Work to Be Done: l.�! 1kchnff� till I UV OttAK1� <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE 1S 3105 (�S <br /> l hereby certify that t have read and examined this application and know the same to be true and <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� �y <br /> performance of construction. That t am authorized by the owner of this property to perform the Coo l� <br /> work for which application is made and l comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> &,�� P <br /> Si nature Date <br /> REVISED 08108/2014 <br />