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425-259-2794 Is 0 16 p.m. 12-07-2016 2/3 <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 /> 4208 Rucker Ave <br /> PROJECT ADDRESS <br /> Chris Amante <br /> Owner Mail Address City State/Zip Phone <br /> Friendly Foam Shop <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 /> SEAHUE1099QN 1 <br /> State License Number(required) CI y of Everett Busi ess License Number(required) <br /> 16000.00 <br /> Proposed Use of Building Contract Pric of Work <br /> Jeff He mann 425-309-2554 <br /> enn@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: Tenant lmprovments -see details next page <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 sqc) t O <br /> 1 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 goveming 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 1 am authorized by the owner of this property to perform the t <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> / Signatu v Date / <br /> REVISED 08/06/2014 <br />