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425-259-2794 <br />11:28 a.m. 08-24-2016 2/2 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEOAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />2121 West Casino Rd <br />PROJECT ADDRESS _ <br />Owner <br />Tenant <br />� <br />Seahurst Electric `�� � <br />Electrical Contractor <br />i Gln �- �. <br />Mail Address <br />Mail Address <br />2915 Chestnut St <br />Mail Address <br />SEAHUE1099QN <br />State License Number (required) <br />Commercial <br />Proposed Use of Building <br />,� 1 <br />City <br />City <br />Evereti <br />City <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (if ►ow voltage <br />StatelZip <br />StatelZlp <br />WA/98201 <br />Stale/Zip <br />Plione <br />Phone <br />425-258-1882 <br />Phone <br />18763 <br />City of Everet# Business Li�ense Number (required) <br />3000.00 <br />Contract Price of Work <br />Joanna Bowers 425-7543282 <br />jbowers@seahurst.com <br />Contect Person/Contact Number/Email <br />o�SoriPc�or, ot wo� co s� oo��: �nstafl (1) 3Pole 15A breaker, Run new 208V circuit to new copier location <br />Install (1) 15A 6-15R Receptacle in 4sq box with raised cover and install (1) Buck Boost Xnfm <br />CfTY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that 1 have read and examined this application and know the same to be frue and <br />correct. All provisions of laws and ardinances governing this type of work wifl be comp/eted <br />whether speci�ed herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions ot any otherstate orlocal law regulating construcfion or the <br />performance of co»struction. That 1 am authorized by the owner nf this property to perform the <br />work (or which applicafion is made and 1 comply with fhe State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />��im ;-� �n���t � � �-� �-ll� <br />REVlSEp 08A76/20i9 <br />FEE <br />C'� � `� S ��:., <br />PERMIT# <br />E ���� � �� � � <br />