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425-259-2794 0 02:40 a.m. 11-10-2016 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 /> 13TH & CRAFTSMAN WAY - NORTH MARINA <br /> PROJECT ADDRESS <br /> Part of Everett <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City Stata/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) r12,'1 <br /> Everett 6usi ess License Number(required) <br /> Marina / Commercial 80.00 <br /> Proposed Use of Building et Price of Work <br /> Jeff Herrmann 425.309.2554 <br /> jherrmann@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 NEMA 4X HINGED DOUBLE THROW DISCONENCT, GEN FRATnR <br /> PLU?eOWER FOR TWO OWNER PROVIDED PUMPS AND OWNER <br /> CABINET <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that 1 have read and examined this application and know the same to be true and o <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 1 am authorized by the owner of this property to perform the ` .--- <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 295.200 WAC. <br /> �' 11 /d&2 <br /> Sin nbV <br /> Qbte <br /> REVISED 08/06/2014 <br />