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425-259-2794 99;47:56 a.m. 01-26-2017 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 /> 810 33rd St <br /> PROJECT ADDRESS <br /> Linda Wagar same 425-252-2252 <br /> Owner Mall Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> Seahurst Electric 2915 Chestnut St EverettWA/98201 425-258-1882 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> SEAHUE1099QN 187 <br /> State License Number(required) C' o ver tt Business License Number(required) <br /> Residential . <br /> Proposed Use of Building Contra Price of Work <br /> s Prather 425-754-6077 <br /> rprather@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: Corrections per house inspector. Add GFIs, panel corrections, add light over <br /> panel, correct reverse polarity receptacles, demo old garage feed wire, install <br /> new closet light <br /> FE E <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 ^ y �� <br /> performance of construction. That 1 am authorized by the owner of this property to perform the t rfJ (v\1` <br /> work for which application is made and I comply with the State Contractors Law 18.27 RC W and <br /> 296.200 WAC. <br /> Signatur Date <br /> REVISED OEVd/2014 <br />