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425-259-2794 nQ•a3:36 a.m. 02-05-2016 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 /> PROJECT ADDRESS <br /> 1Jew: N�C-e- br—rCh <br /> Owner Mall Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> Seahurst Electric 2915 Chestnut St Everett WA198201 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 /> Ccs-ryvr z,L%,�\ �i5 a2 0 5 Q <br /> Proposed Use of Building Contract Price of Work <br /> —De Luh <br /> y25-1sy - 3A-Sto <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: L2c1 yX <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 FEE <br /> m <br /> I hereby certify that/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 Il <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> Signature Dat <br /> REVISED O&VW014 <br />