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425-259-2794 5:22 p.m. 10-05-2016 3/3 <br /> .-// '7 ' �U <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 /> 9011 Evergreen Way <br /> PROJECT ADDRESS <br /> Owner Mail Address City State/Zip Phone <br /> Public Storage Store#24511 <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 /> SEAHUE1099QN 18763 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Commercial J`(o,3/3 6'0 <br /> Proposed Use of Building ContractP ice of Work <br /> .icli'1 NOv)l ^qts- ZLo <br /> �-fn0'VY4?SER 1uLf S-k C.C)N•"- <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: Energy conservation lighting retrofit <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 A <br /> I hereby certify that i have read and examined this application and know the same to be true and l✓' / <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 ^ I J D j/, <br /> performance of construction. That 1 am authorized by the owner of this property to perform the t <br /> work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> k4 <br /> slurs to <br /> REVISED 08/06/2014 <br />