Laserfiche WebLink
425-259-2794 3:12 p.m. 10-05-2016 2/3 <br /> -71 -76;0 <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 /> 9830 Evergreen Way <br /> PROJECT ADDRESS <br /> Owner Mail Address City State/Zip Phone <br /> Public Storage <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) City of Everett Business License Number(required) <br /> Commercial I ggL12,, a' <br /> Proposed Use of Building _ Contract Price of Work <br /> Jon Novy 4-la-3-509-4/3-AD <br /> Jnovy seQhursk, Loak <br /> Square Footage(if residential new construction,remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(If tow voltage) <br /> Description of Work to Be Done: Energy Conservation lighting retrofit <br /> FEE _ <br /> CITY OF EVERETT LOCAL SAFES TAX CODE IS 3105 0 �911 1�e <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 <br /> performance of construction. That I am authorized by the owner of this property to perform the o <br /> work for which application is made and/comply with the State Contractors Law 16.27 RCW and <br /> 296.200 WAC. <br /> dignature Dale <br /> REVISED GMr2014 <br />