Laserfiche WebLink
425-259-2794 x0:39:09 a.m. 09-20-2016 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 /> 2825 Colby Ave, Suite 306 <br /> PROJECT ADDRESS <br /> Owner Mall Address City State/Zip Phone <br /> US Bank <br /> Tenant Mall 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) I y of Evers Business License Number(required) <br /> commercial 600.00 <br /> Proposed Use of Building �effHerrri(rmann <br /> e of Work <br /> 425-309-2554 <br /> jherrmann@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 (1) receptacle &(1) data outlet in Baker conference room <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 (0110 - so„ /� - s O <br /> I hereby certify that I have read and examined this application and know the same to be true and �1 v <br /> correct. All provisions oflaws 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 <br /> performance of construction. That I am authorized by the owner of this property to perform the E <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> llj -W <br /> Signa ur Date <br /> REWSED 0810CV2014 <br />