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425-259-2794 1• <br /> 1'46 a.m. 03-17-2016 2/3 <br /> ■11 <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 /> 9602 Evergreen Way <br /> PROJECT ADDRESS <br /> Kathy Tran 10012 Shoultes RD Marysville, WA 98204 206-446-5525 <br /> Owner Mall Address City State/Zip Phone <br /> Tenant Mall 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 /> Commercial 1200. <br /> Proposed Use of Building Contract Price of Work <br /> Bill Waddell 425-309-2554 <br /> bwaddell@seahurst.com <br /> Square Footage(If residential new construction,remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: Verify existing electrical installation is up to code <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> )14) <br /> 1 � <br /> I hereby certify that I 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 <br /> performance of construction. That lam authorized by the owner of this property to perform the E 1(005- 1(0 <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> ,1/r> 7270) 0/ 7. <br /> Signatore/ J Date <br /> REVISED 08/0612014 <br />