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425-259-2794 ' �:11;57 p.m. 09-20-2016 2/2 <br /> � <br /> i <br /> � °' ELECTRICAL PERMIT APPLICATION <br /> � <br /> CITY QF EVERETT PERMIT SERVlCES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> � 425-257-8810 - FAX 425-257-8857—www,everettwa.org <br /> , <br /> 2601 Everett Ave <br /> PROJECT ADDRESS <br /> Owner Mail Address City State2ip Phane <br /> Teamsters Local 38 <br /> Tenani Mail Address City State2lp Phane <br /> Seahurst Electric 2g'!5 Chestnut St Everett WA/982Q1 425-258-1882 <br /> Electrieal Gontractot Mtaii Address City State/Zip Phone <br /> SEAHUE1 d99QN �g� <br /> Staie License Number(required) ity of Everett Bu iness L.icense Number(required) <br /> commerciai 7000.U0 <br /> Propased Use of BuiEding Contract Prioe f Work <br /> Jorda oswetl425-7543456 <br /> well@seahurst.com <br /> Square Footage(If residential new canstruction,remodel or addition) Contact Person/Contaat Number/Email <br /> Number of devices(If fow voltage) <br /> Oescriptlon of Work to Be Dane: Enercry conserva�on lighting upgrade ballast's&drivers <br /> FEE <br /> CITIf O�EVERE'R LOCAL SALES TAX CODE!S 3105 �� .�� <br /> i hereby cer#ify that I hava read and examined th)s application and know the same fo be true and <br /> corr�ct. Ali provlsJons of laws and ordinances goveming this type af work wiU be campleted <br /> whefher specified hereln or not The grantTrrg of a permit does nat presume fo give authority fa PERMIT# <br /> vrolate or cance/1he prnvlsions of any other stafe or local law rogulafing aonstrucffon ar the <br /> performance ofconsfrucffon. That I am autharized by the ownerofthls properfy fo periorm the E �r-(�� r `3� <br /> work for which application is made and l comply with fhe State Confractors Law 18.27 RCW and �C+v <br /> 296.200 WAC. � <br /> , ' � � <br /> � S)g tu Date <br /> REYISED OB�G/2014 � <br />