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425-259-2794 18:45 p.m. 09-16-2016 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.everattwa.org <br /> 1205 CRAFTSMAN WAY <br /> PROJECT ADDRESS <br /> CITY OF EVERETT - PORT <br /> Owner Mail Address City State/Zip 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 /> S EAH U E 1099QN 18763 <br /> State License Number(required) City of Everett Business License Number(required) <br /> INDUSTRIAL 40000.00 <br /> Proposed Use of Building Contract Price of Work <br /> JEFF HERRMANN 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 /> Descriptlon of Work to Be Done: STORMWATER PUMP STATION UPGRADES FOR PORT OF EVERETT <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that I 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 LDa� <br /> performance of construction. That I am authorized by the owner of this property to perform the <br /> work for which application Is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> /- i - -ID <br /> Signature Date — <br /> REVISEa OW6,2014 <br />