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425-259-2794 � �1:52 p.m. 08-29-2016 2/2 <br /> ELECTRICAL PERMlT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> � 3200 CEDAR STREET, EVERETI", WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettvua.org <br /> 1106 Hewitt Ave <br /> PROJECT ADDRESS <br /> Kaman tndustrial Technologies - same 425-259-3189 <br /> Owner Mail Address City Stale/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> Seahurst Electric 2915 Chestnut St Everett WA/98201 425-258-1882 <br /> E[ectrical Contractor Mail Address Glty StatelZip Phone <br /> SEAH U E 1099QN 18763_�. <br /> State License Number(required) ity of Ever�K Business License Number(required) <br /> Commercial „/ 600. • <br /> ,� <br /> Proposed Use of Building � C ntrac P�ice of W <br /> ,� �on �lovy 4��-508-4320 <br /> � �z_�.j,nd`vy@seahurst.com <br /> Square Footage(If rasidential new construction,remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(If low voltage) <br /> Descriptlon of Work to 8e Done: <br /> Assist Evergreen State Heating &Air to insta(I (1) 30A disconnect for HVAC unit <br /> FEE <br /> CITY OF EVERET"f LOCAL SALES TAX CaDE lS 3105 % <br /> I here6y cerfify thaf 1 have read and examined this applicafion and know the same to be true and <br /> � • ���. <br /> correct. All provisions oflaws and ordinances govemrng this fype of work will be completed <br /> whether specified herein or not. The granfing of a permit does not presume to give authority to PERMIT# <br /> violafe or cancel the provisions of any othe�state orlocal law regulating construction or the � <br /> performance of canstruction. That I am autharized by the owner of this property to perform the ��� "'��� <br /> work for which applicafion is made.and-I_co�with the Stafe Contractors Law 98.27 RCW and <br /> 296.200 WAC. '"'� �'`,, <br /> `; `� <br /> G �7��� �'�i`�-/ <br /> t � <br /> Sig ture �, J `�� Date <br /> `..e� <br /> Rtl?SED OH/O6/2D14 <br />