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425-259-2794 35:01 P.M. 10-12-2016 3/3 <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 /> 4027 4TH ST SE/IPT BUILDING:GATE OPERATION <br /> PROJECT ADDRESS <br /> CITY OF EVERETT <br /> Owner Mall 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 Mali Address City State/Zip Phone <br /> SEAHUE1099QN 1 <br /> to Licens umber(required) C' o Evere Business License Number(required) <br /> INDUSTRIAL 3000. <br /> Proposed Use of Bu'ding Contract rice of Work <br /> JEF ERRMANN 425-309-2554 <br /> errmann@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 Wire, conduits and disconnect for pate operation at City of Everett <br /> VWUTP - IPT Building <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <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/aws and ordinances governing this type or work will be completed <br /> whether specified herein or not. The granting ora 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 <br /> work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br /> 295.200 WAC. <br /> /0//Z <br /> Signatur Date <br /> REVISED 08/06/2014 <br />