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4924 ELM ST 2017-02-27
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4924 ELM ST 2017-02-27
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Last modified
2/27/2017 2:44:10 PM
Creation date
2/27/2017 2:44:09 PM
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Address Document
Street Name
ELM ST
Street Number
4924
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425-259-2794 11:23:21 a.m. 01-13-2017 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 /> 4924 Elm St <br /> PROJECT ADDRESS <br /> Marie Reynolds PO Box 962, Mukilteo, WA 98275 425-345-5951 <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 187.. <br /> State License Number(required) ever-tt Business License Number(required) <br /> Residential 1400. <br /> Proposed Use of Building ontract ' ice of Work <br /> os .rather 425-754-6077 <br /> rprather@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: Replace Zinco panel: 125A Panel. Relocate GFI recept up above bath counter. <br /> Make connections for on demand gas water heater. Locate buried feeders to garage-confirm/ <br /> verify correct depth <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I D/')V <br /> t 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 I am authorized by the owner of this property to perform the E <br /> work for which application is made and/comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> o .404.fin- <br /> Sign Date <br /> REVISED OBi06R014 <br />
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