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425-259-2794 �47:30 p.m. 08-27-2017 2/2
<br /> ELECTRlCAL PERMIT APPLICATiON
<br /> CITY OF�VERETT PERMiT SERVICES
<br /> 3200 CEDAR STREET, EVERETT,WA 98201
<br /> (P)425-257-8$t0 � FAX 425-257-8857 � (E}everetteps@everettwa.gav� www.everettwa.gov/permits
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<br /> PROJECT ADDRESS: 524 75TH ST SE
<br /> BU[LDING AREA(if residentfel,new constniction,temodeE,or addit(on) SF
<br /> BUILDING TYPE: O SFR-DEfACHEa ❑SFR-ATTACHED C]DUPLE7C �I MUL'il-FAMILY-#OF UNITS: ❑COMMERCIAL
<br /> USE OF BU[LD1NG: ASSISTED SENIOR LlVING
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<br /> CONTRACT PRlCE OF WORK:$ 1000.00
<br /> NUMBER OF DEViCES if law volta e :
<br /> FIRE ALARM? ❑YES fffi NO
<br /> ASSOCIATED BUILDING PERMIT# if a Ifcab[e :
<br /> DESCRIPTI0f�1 OF WORK: INSTAL.L(1)20a CIRCUIT FOR REPEATER
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<br /> �WNER NAME: TERRACE AT BEVERLY LAKE TENAHT NAME If Commercfa! :
<br /> OWNER MAfLING ADDRESS: srneEr
<br /> C� � STATE ZIP
<br /> OWNER PHON�: 425-348-8800 owHER eMA��: HEATHER-OFFICE MANAGER
<br /> CONTRACTOR NAME: Seahurst Electric
<br /> CONTRACTOR ADDRESS: STREET 2g15 Chestnut St
<br /> �,n, Everett sTA,� WA Z,P 98201
<br /> CONTRAC70R PHONE: 4�5-258''I$$2 CONTRACTOR EMAIL: reception@seahurs#:com
<br /> CONTRACTOR UC.#�Reau�Reo�: SEAHUE1099QN CITY OF EVERETT BUSINESS LfC.#(REQuIRED): 18763
<br /> PRIMARY CONTACT: ❑OWNER �COlVTRACTOR �OTHER(Please 5peaify)
<br /> CONTACT NAME: K1R1 StTl�th CONTACT PHONE: 425-258-18$2
<br /> PM -JON NOVY 425-508-�4320 cantsacr eMaaL: reception a�seahurst.com
<br /> AGR�EMENT:I hefa5y cartify that!heve read and exam/ned thfs application end know the serr�to 6e hue artd cnmeet. AI!prav/slons of(aws and ord7nances goveming this typa
<br /> of wark wiA be completed wheihe�specl�ed hereTn or not. The grantrng ot a parmlt does aoi presume to give authodfy to violate or cance!the provisions of any dther sfale or
<br /> loca!law�egulating consfrtrcfion or the perfumrance ni cnnafnict)nn. Thef 1 am authorized by the owner af this property ta perlarm!he work for whlch application is mede and!
<br /> cnmp/y with the State Gontractars Law 18.27 RCW and 29fi.200 WAG.
<br /> . City oI Everett ORicia/Use Gnly
<br /> " PERMIT#
<br /> /� r � � E I av� I L� .
<br /> Owner Autho�ize Ag t Slgrsature ate ✓
<br /> {Revlssd 9/23/2016)
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