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425-259-2794 p22:31 p.m. 08-21-2017 2/2
<br /> ELECTRICAL PERMIT APPLICATION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT,WA 98201
<br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov www.everettwa.gov/permits
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<br /> PROJECT ADDRESS: 715 100TH ST SE UNIT C3
<br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF
<br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED ❑DUPLEX 0 MULTI-FAMILY-#OF UNITS: I$COMMERCIAL
<br /> USE OF BUILDING: COMMERCIAL
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<br /> CONTRACT PRICE OF WORK:$ 3100.00
<br /> NUMBER OF DEVICES(if low voltage):
<br /> FIRE ALARM? 0 YES ®NO
<br /> ASSOCIATED BUILDING PERMIT#(if applicable):
<br /> DESCRIPTION OF WORK: RELOCATE (2) SINGLE POLE SWICHES; INSTALL(3)20a RECEPTACLES ON NEW
<br /> CIRCUIT AND INSTALL(20a RECEPTACLE ON EXISTING CIRCUIT
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<br /> OWNER NAME: MEATAL SUPERMARKETS . TENANT NAME(If Commercial):
<br /> OWNER MAILING ADDRESS: STREET
<br /> CRY STATE
<br /> ZIP
<br /> OWNER PHONE: 425.265-1830 OWNER EMAIL: OFFICE MANAGER-MARK FARRAGHER
<br /> CONTRACTOR NAME: Seahurst Electric
<br /> CONTRACTOR ADDRESS: STREET 2915 Chestnut St
<br /> cnv Everett STATE WA zip 98201
<br /> CONTRACTOR PHONE: 425-258-1882 'CONTRACTOR EMAIL: reception@seahurst.com
<br /> CONTRACTOR UC.#(REQUIRED): SEAHUE1099QN CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 18763
<br /> PRIMARY CONTACT: 0 OWNER ®CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME: Kim Smith CONTACT PHONE: 425-258-1882
<br /> PM-BRIAN PYLE 425-760-1470 CONTACT EMAIL: reception@seahurst.com
<br /> AGREEMENT:I hereby codify that I have read and examined this application and know the same to be true and correct. All provisions of laws end ordinances governing this type
<br /> of work will be completed whether specified 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 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 /> •
<br /> PERMIT#
<br /> //7 E 0`(( ' 401.
<br /> w /Authorize. • ,ent Signature Date (Revised 9/23/2016)
<br />
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