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425-259-2794 -9:01 a.m. 03-10-2016 2/2 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-6857—www.everettwa.org <br /> 5� <br /> PROJECT ADDRESS <br /> Williams Investments <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail 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 <br /> �}Business License Number(required) <br /> Commercial - Multi Family f JJ LV 0 r <br /> Proposed Use of Building Contract Price of Work <br /> Mike Bergman 425.359.9693 <br /> mbergman@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:Complete Electrical Demo of Unit 54;Complete Re-wire to include new panel, breakers, boxes, <br /> receptacles,FA and device plates.Replacing like&kind devices&fixtures <br /> fi <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 r <br /> performance of construction. That/am authorized by the owner of this property to perform the E i <br /> work for which application is made and I comply with the State Contractors Law 16.27 RCW and <br /> 286.200 WAC. <br /> Sjynature Date <br /> REVISED OdV&2014 f�/} <br />