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EIDECTRICAL PERMIT APOItICATION <br /> i#11111°"4406 --4 <br /> a a v <br /> A111 -.1 CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 j (E)everetteps@everettwa.gov I www.everettwagov/permits <br /> - PRoJect*TE Onc‘eRivulat <br /> PROJECT ADDRESS: 6627 Gateway Terrace Everett WA 98203 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED IZ SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Residential <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 1500 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES 621 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 200amp panel and 30map dryer circuit <br /> CONTA4***OINIATION <br /> OWNER NAME:Jackie Sandhu TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 6627 Gateway Terrace <br /> CITY Everett <br /> STATE WA ZIP 98203 <br /> OWNER PHONE: 425-315-3481 OWNER EMAIL;jsanclhu_@hotmail.com <br /> CONTRACTOR NAME: SeaTown Electric Corp. <br /> CONTRACTOR ADDRESS: STREET PO BOX 75538 <br /> CITY Seattle <br /> STATE WA zip 98125 <br /> CONTRACTOR PHONE: 206-905-3690 CONTRACTOR EMAIL: info@seatownelectric.com <br /> CONTRACTOR LIC.#(REQUIRED): SEATOEC86ORB CITY OF EVERETT BUSINESS LIC.#(REQUIREDit 53916 <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-905-3690 <br /> Brandon Phillips CONTACT EMAIL:info@seatownelectric.com <br /> AGREEMENT'thereby certify that I have read and examined this application and know the same to he true and correct. All provisions of laws and ordinances governing this type <br /> of work will be completed whether specified herein or riot The granting of a permit does not presume to give authority to violate or cancel the provisions of any other slate or <br /> local law regulating construction or the performance of construction That I am authorized by the owner of this property 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 o <br /> uthorized Agent Signature Date (Revised 9/23/2016) <br />