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425-259-2794 4:52 p.m. 10-12-2016 2/3 <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 /> 412 LAUREL DR <br /> PROJECT ADDRESS <br /> BOB KERR 425-280-7140 <br /> Owner Mail 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 Mall Address City State/Zip Phone <br /> SEAHUE1099QN 18763 <br /> State License Number(required) City of Everett Business License Number(required) <br /> RESIDENTIAL 5000. <br /> Propo -• 'se of Buil. • Contract Price of Work <br /> 4.sq SCIROSS <br /> PRATHER 425-754-6077 <br /> rprather@seahurst.com <br /> Sq •• =• = _ _ •- - : Contact Person/Contact Number/Email <br /> Number of devices(If low voltage)" <br /> Description of Work to Be Done: . II 6 - •- la - • • • s.. ii - • i• - •4 a _ .Y. . M-• a • <br /> are open <br /> �S�iu1c, <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105CO <br /> ( <br /> I hereby certify that t have read and examined this application and know the same to be true and <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 0 `O� <br /> performance of construction. That I am authorized by the owner of this property to perform theE <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> /AA /0//ZA. <br /> S :t e Date <br /> REVISED 08876/2014 <br />