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425-259-2794 11-17:17 p.m. 03-07-2018 2/2
<br /> 0477 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: 2101 Rucker Ave unit 3
<br /> BUILDING AREA(If residential,new construction,remodel,or addition) SF
<br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 5 0 COMMERCIAL
<br /> USE OF BUILDING: RESIDENTIAL
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<br /> CONTRACT PRICE OF WORK: $ 850.
<br /> NUMBER OF DEVICES(if low voltage): NA
<br /> FIRE ALARM? 0 YES ®NO' .
<br /> ASSOCIATED BUILDING PERMIT#(if appilcable):NA
<br /> DESCRIPTION OF WORK: INSTALL(2)CIRCUITS FOR HEATER IN BEDROOM UNIT 1t3 AND DEDICATED
<br /> RECEPTACLE FOR LIVING ROOM
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<br /> OWNER NAME: RICHARD SULLIVAN TENANT NAME(If Commercial):
<br /> OWNER MAILING ADDRESS: STREET 2418 CALIFORNIA
<br /> cn, EVERETT STATE WA ZIP 98201
<br /> OWNER PHONE: 425-327-9445 OWNER EMAIL:
<br /> CONTRACTOR NAME: Seahurst Electric
<br /> CONTRACTOR ADDRESS: STREET 2915 Chestnut St
<br /> CITU Everett STATE WA zip 98201
<br /> CONTRACTOR PHONE: 4254581882 CONTRACTOR EMAIL: reception@seahurst.com
<br /> CONTRACTOR LIC.#(REQUIRED): SEAHUEIO99QN CITY OF EVERETT BUSINESS UC.#(REQUIRED): 18763
<br /> PRIMARY CONTACT: 0 OWNER ®CONTRACTOR ❑OTHER(Please Specify)
<br /> CONTACT NAME: Kim Smith CONTACT PHONE: 425-258-1882
<br /> CONTACT EMAIL: reception@seahurst.com
<br /> AGREEMENT:I hereby certify that/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 previsions of any other slate or
<br /> local law regulating construction or the performance of construction. That!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 Oficial Use Only
<br /> PERMIT#
<br /> 3/7 /8 E Igo3-09q
<br /> Ow4/al
<br /> horiza r ature Date • (Revised 9/23/2016)
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