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10205 7TH AVE SE 2017-09-25
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10205 7TH AVE SE 2017-09-25
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Last modified
9/25/2017 10:45:36 AM
Creation date
9/25/2017 10:45:34 AM
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Address Document
Street Name
7TH AVE SE
Street Number
10205
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RECTRICAL PERMIT APAICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> OL 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 10205 7th Ave SE, Everett 98208 <br /> BUILDING AREA(if residential,new construction, remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: El COMMERCIAL <br /> IUSE OF BUILDING: Residential Home <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 140 <br /> NUMBER OF DEVICES (if low volt)ge): <br /> FIRE ALARM? ❑YES ® NO <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: Add (2) 2P 15A 220V circuits for heat pump <br /> CONTACT INFORMATION <br /> OWNER NAME: Maksim Sergiyenko TENANT NAME If Commercial): <br /> OWNER MAILING ADDRESS: 11111T 10205 7th Ave SE <br /> CITY Everett STATE WA 98208 <br /> OWNER PHONE: 206-902-8236 1OWNER EMAIL: <br /> CONTRACTOR NAME: SeaTac Electric, Inc. <br /> CONTRACTOR ADDRESS: STREET 7056 So 220th St <br /> CITY Kent STATE WA ... 98032 <br /> CONTRACTOR PHONE: 253-872-5553 1CONTRACTOR EMAIL: dawn.Ianz@seatacelectric.com <br /> CONTRACTOR LIC.#(REQUIRED): SEATAE1077RW ICITY OF EVERETT BUSINESS LIC.#(REQUIRED); 033037 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 253-867-2356 <br /> Dawn Lanz CONTACT EMAIL:dawn.lanz@seatacelectric.com <br /> AGREEMENT.,I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type <br /> of work will be completed whether speciried herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That I am authorized by the owner of this properly to perform the work for which application is made and I <br /> comply with the State Contractors Law 18,27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> E <br /> b <br /> Owner/Authorized Agent Signatur6- Date (Revised 912312016) <br />
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