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425-259-2794 03:55:31 p.m. 12-30-2016 2/2 <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 /> 3003 W CASINO RD, BLDG#4027 et 61, 191' <br /> PROJECT ADDRESS V ► l <br /> BOEING <br /> Owner Mail 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 Mail Address City State/Zip Phone <br /> SEAHUE1099QN 18763 <br /> State License Number(required) City of Everett Business License Number(required) <br /> INDUSTRIAL 5000.00 <br /> Proposed Use of Building Contract Price of Work <br /> Brian Pyle 425-760-1470 <br /> bpyle@seahurst.co <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: Provide labor support;adding/altering existing service/circuits <br /> Adding 120A Breaker and 10KVA Transformer altering 24V Circuit <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 ,I� <br /> I hereby certify that I have read and examined this application and know the same to be fare 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 1 am authorized by the owner of this property to perform the E �1 ® 1 /fC�/� <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 /> n • <br /> /A -30-/0 <br /> ign lu Date <br /> REVISED 08/0612014 <br />