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425-259-2794 03:04:26 p.m. 03-22-2016 212 <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 /> 4925 Evergreen Way <br /> PROJECT ADDRESS <br /> Bella Cleaners same <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail 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 264.00 <br /> Proposed Use of Building Contract Price of Work <br /> Dan Thomas 425.508.7172 <br /> dthomas(�D_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: Lighting retrofit- installing (12) vendor supplied lights <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 Z <br /> I hereby certify that I have read and examined this application and know the same to be true and <br /> correct. All provisions oflaws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting ora 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 n <br /> performance of construction. That/am authorized by the owner of this property to perform the E 1 I,�O iq /� <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and v/ I 1 ✓✓✓ <br /> 296.200 WAC. _ <br /> 1011('z9 <br /> Sligriature Date <br /> REVISED GUIV Vtb74 <br />