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425-259-2794 �:22 p.m. 04-1I�8-2017 2/3
<br /> ELECTR{CAL PERMIT APPLICATION
<br /> CITY OF EVERETf PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT, WA 98201
<br /> (P}425-257-8810 � FAX 425-257-8857 1 (E)everefteps@everettwa.gov� www.sverettwa.gov/permits
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<br /> PROJECT ADDRESS: Centra! Marina Dock H - 4135 Craftsman Way/Peters Boathouse H-21
<br /> BUILDING AREA(if residentlal,new construcQon,remodel,or addltian) SF'
<br /> HUtLDINQ TYPE: O SFR-DEfACHED O 5FR-ATi'AGHED ❑ DUPl.EX L7 MUL71-KAMILY-#OF UNETS: O COMMERCIAL
<br /> USE OF BU]LD[NG: Boathouse H-21
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<br /> GONTRACT PRICE OF WORK: $ 800.00
<br /> NUMB�R OF DEVECES if low volta e :
<br /> FIRE ALARM? ❑YE5 I�I NO
<br /> ASSOGIATED BUILDiNG PERMtT# if a licabte :
<br /> DESCRIP'f[ON OF WORK: Instali (1) 50A Power Cord on Boathouse
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<br /> owNE�NAME: Michael Peters TENANT NAME�If Cammercial :
<br /> OWNER MA[LING ADDRE55: smeEr
<br /> �� STATE ZIP
<br /> OWNER PHOWE: 425-941-0500 OWNER EMAI�: mpeters@comcas#.net
<br /> _
<br /> CONTRACTOR NAME: Seahurst Electric
<br /> CONTRAC7QRADDRESS: STREET 29'�5 Chestnut St
<br /> emr Everett STA,� VIfA z1r 98201
<br /> CONTRAC'TOR PHON�: 4'25"258'�882. CONTRACTOR EMAIL: reception@seahurst.GGIi7
<br /> CONTRACTOR UC.#(REQUiREQ): SEAHUE1099QN c�nr o��vert�'rr susiniEss uc.#(REqUIRED): 18763
<br /> (
<br /> PRIMARY CONTACT: C]OWNER �CONTRACTOR ❑OTHER Please SpecEfy)
<br /> CdNTACT NAME: K1Rl Si111��1 CONTACT PNONE: 425-25$-1$8�
<br /> CONTACT EMAfL: reception@seahurst.CpCl1
<br /> AGREEMENT:!her�by certily that 1 heve read and examined this applkatfan and know ihe same to ba ttue end aorrect. AI!provisinns of lews and orrfinences govemlrrg fhis type
<br /> of wark wip be camplefed whefher speci�ed herein ornot. The granting of a permft dnes not presume fo give authority fo viofate or eancel the pravisrons of any ather state or
<br /> focal law ragutafing construction orlhe perfarmanca of cortstnrcUon. That I am aulhorized 6y the owner of this prapeny to perform ihe work for whTch appfication is made end/
<br /> compty with fhe State Contracfnrs Law?8.27 RCW and 296.200 WAC.
<br /> City of Everaff OffrcJal Use pnly
<br /> . -
<br /> PERMIT#
<br /> �� -���/7 E , �
<br /> O ner/Authoriz ent Stgnature pa�e �!(� ����
<br /> (Revised 9/23/2018)
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