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425-259-2794 6 9:55 a.m. 06-23-2015 212 <br /> • <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 /> IA60 401/1 <br /> PROJECT ADDRESS <br /> ts o7 - <br /> Owner Mall Address City State/Zip Phone <br /> Tenant Mall Address City StatelZip 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 /> (0-Mfn3-,0&0, <br /> Proposed Use of Building C ntract Price of Work <br /> PL7o-0inye.SCQhy'�sf.Gvn2 <br /> _Pef-e i�a#in�, Pk�-2otb•71? •749Y <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Co tact Number/Email <br /> Number of devices (If low voltage) <br /> Description of Work to Be Done: J�yjffj V �6-n e,-erVa - l <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that t have read and examined this application and o e s 1� <br /> pp 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 <br /> performance of construction. That I am authorized by the owner of this property to perform the E t)1_- O�- f�I <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and I <br /> 296.200 WAC. <br /> ignatur Date <br /> REVISED Oa/OW014 <br />