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425-259-2794 II�:48 a.m. 05-17-2017 2/3
<br /> ELECTRlCAL PERMIT APPLICATfON
<br /> CITY OF EVERETI' PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT,WA 98201
<br /> (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everettwa.gov� www.everettwa.gov/permits
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<br /> PRo.��cr Ao�REss: CRAFTSMAN WAY BOATHOUSE H�7
<br /> BUILOtNG AREA(ff resfdential,new construction,remodel,or addiifon) SF
<br /> BUILDING TYPE: ❑SFR-DETACNED ❑ SFR-AITACHED ❑DUPLEX �MUL'FI-FAMILY-#}OF UNITS: CXCOMMERCIAL
<br /> USE O�BUILDING: BOATHOUSE ON DOCK H
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<br /> CONTFtACT PRICE OF WORK:$ 500.00
<br /> NUMBER OF DEVICES if low volta e :
<br /> FIR�A�ARM? C7 YES �NO
<br /> ASSOCtATED BUILD[NG PERMIT# if a ficable :
<br /> DESCRIPTION OF WORK: NST W POWE D D 5QA C � P O BOATH S T C
<br /> METER
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<br /> OWNER NAME: ROBERT WALT2 TENANT NAME [f Commercial : ROBERT WALTZ
<br /> OWNER MAIL[NG ADDRESS: $TREET 89321357H DR SE
<br /> �,.,�, SNOHOMlSH STATE WA Z,p 98290
<br /> OWNER PHONE: 425-50'1-4520 OWNER EMAlL: bobseasnoLyahoo.COi71
<br /> coNTRACTOR NAME: SealltlrSt Electrlc •
<br /> CONTRACTOR ADDRESS: sTneer 2915 Chestnu#St
<br /> �Ry Everett 9TA7E WA Z�p 98201
<br /> GONTRACTOR PHONE: 425-258-'�882 CONTRACTOR EMAlL: reception�seahurst.COfTi
<br /> CON'TRACTOR L1C.#(REQUIREO}: SEAHUE1099QN GITY OF EVERE7T BUSINE5S UC.#(REQUIRED): 18763
<br /> PRIMARY CqNTACT: O OWNER �C�NTRAC70R ❑OTHER(Please Speclfy)
<br /> CONTACT I�AME: Kim Smith CONTACT PHONE: 425-258-9$$2
<br /> PM -Jeft Hemnann coNTAc�r�Ma�t,: �-eception@seahurst.cam
<br /> AGREEMEN7.•1 here6y cartffy that f have read and examinsd this applicafion and know ihe same ta 6e tnre and correct. Al!pr�vlsions of faws end ordrnences goveming this typa
<br /> of wark wiJl be oampteted whefher specified herein ornot. The granling ofa pemrif does nof presume lo grve autharrly to vi�laie or cancel fha prnvislons af any ofher state or
<br /> tacal/aw regulating construction ar the perfamance of canstructfon. That I am authorized by lhe owner of this property to perForm tfre work for which epplicafion rs made and I
<br /> comply with the State Cnrttractors Law 18.27 RCW and 236.200 WAC.
<br /> C!ty of Everetf fJ�cra!Use Only
<br /> t ��
<br /> �, PERMiT#
<br /> ��r.� E ���a S � l6�
<br /> Own /Authorized ent Signature date (Revised 9/23/2016j
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