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425-259-2794 0ftjff1 p.m. 11-27-2017 2/2
<br /> Oren- ELECTRICAL PERMIT APPLICATION
<br /> TY OF EVERETT PERMIT SERVICES
<br /> 3200 C 'AR STREET, EVERETT,WA 98201
<br /> (P)425-2 . -8810 I FAX 425-257-8857 I (E) :veretteps@everettwa.gov I www.everettwa.gov/permits
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<br /> PROJECT ADORE•S: 1427 100th ST SW Space#71
<br /> BUILDING AREA(i .sldentlal,new construction,remodel, • addition) SF
<br /> BUILDING TYPE: ❑ -- a ACHED 0 S : • ' •CHED 0 DUPLEX DI MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL
<br /> USE OF BUILDING:Mobile Home Park
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<br /> CONTRACT PRICE OF WOR ' 600.00
<br /> NUMBER OF DEVICES(if low vi Itage): na
<br /> FIRE ALARM? ❑YES RI NO
<br /> ASSOCIATED BUILDING PERMI #(If a• cable): na
<br /> DESCRIPTION OF WORK: RE TORE POWER TO MOBILE HOME PARK SPACE#71
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<br /> OWNER NAME: FAIRWAY ESTATES TENANT NAME(If Commercial):
<br /> OWNER MAILING ADDRESS: STREET
<br /> cmr STATE
<br /> ZIP
<br /> OWNER PHONE: 425-353-9444 OWNER EMAIL:
<br /> CONTRACTOR NAME: Seahurst Electric
<br /> CONTRACTOR ADDRESS: STREET 2915 Chestnut St
<br /> CITY Everett STATE WA ZIP 98201
<br /> CONTRACTOR PHONE: 425-258-1882 CONTRACTOR EMAIL: reception@seahurst.com
<br /> CONTRACTOR LIC,#(REQUIRED): SEAHUE1099QN CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 18763
<br /> PRIMARY CONTACT: ❑OWNER ®CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME: Kim Smith CONTACT PHONE: 425-258-1882
<br /> CONTACT EMAIL: reception@seahurst.corlf
<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 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 lam 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 RC W and 296.200 WAC.
<br /> •
<br /> City of Everett Official Use Only
<br /> PERMIT#
<br /> E 1�-�t -moo
<br /> Owne Authorized ASynd/C
<br /> gnature Date (Revised 9/23/2016)
<br />
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