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425-259-2794 10:37:59 a.m. 02-06-2017 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 /> 1631 HOYT AVE <br /> PROJECT ADDRESS <br /> BOB STAHL same 425-258-4489 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mall 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 /> SEAAHUE1099QN 18763 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Residential 5225.00 <br /> Proposed Use of Building Contract Price of Work <br /> Ross Prather 425-754-6077 <br /> rprather@_seahurst.com <br /> 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:INSTALL 200A OVERHEAD SERVICE, ADD (4) RECEPTS/CIRCUIT IN <br /> ) <br /> KIT _H N R PTS Ann (2) FXTFRIOR RFC`FPTS AT RACK PORCH <br /> REMOVE &INSTALL OWNER PROVIDED LIGHTS <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 I am authorized by the owner of this property to perform the t <br /> work for which application is mad nd 1 comply with the State Contractors Law 16.27 RCW and <br /> 296.200 WAC. '^ <br /> —x. <br /> �f' l <br /> Signature ate <br /> REVISED 0"=014 <br />