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425-259-2794 �:23 a.m. 10-OZ-2017 2/2
<br /> ELECTRICAL PERM`IT APPLICATiON
<br /> CITY OF EVERE�T PERMIT SERViCES
<br /> 320a CE�AR STREET, EVERETT,WA 98201
<br /> (P}425-257-8810 � FAX 425-257-8857 ; (E)everetteps@ev�rettwa.gov� www.everettwa.gov/permits
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<br /> PROJECT ADi]RSSS; 2�a5 CRAFTSMAN WAY BOATHOUSE#H-26
<br /> BU[LDING AREA(if residentlal,new construction,remodet,or addition) 5F
<br /> BUILDING TYPE: ❑SFR-DETACHED ❑5FR-ATTACHEd �DUPLEX ❑MULTI-FAMILY-#OF UNITS: �COMMERCfAL
<br /> USE OF�BU[LDING: MARtNA BOATHOUSE
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<br /> CONTRACT PR[CE OF WORK:$ 500.00
<br /> NUMBER OF pEVICES if fow volta e : NA
<br /> FlRE ALARM? O YES �NO
<br /> ASSOCIAi'ED BU[LDING PERMIT# if a licable:NA
<br /> DESCRIPT[ON OF WORK: INSTALL NEW POWER CORD AND CAP FOR BOATHOUSE H-26
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<br /> OWNER NAME: BRIAN L.UETH TENANT NAME(!f CQmmerciaf):
<br /> �WNER MAILtNG ADDRESS: s�neer 5002 23RD AVE W
<br /> cin• EVERETT srn� W�► zip 98203
<br /> QWNER PHONE: 425-501-6860 OWNER EMA1L: bfia(1.IU@th@gillalLcom
<br /> CON7RACTOR NAME: Seahurst EfecEric
<br /> CONTRACTORADDl2ESS: s�neer 29�$ Chestnut St
<br /> cin. EVBCett STA7E Y�A ZIP 98201
<br /> CONTRACTOR PHONE: 42$'25�'�882 CONTRACTOR EMAIL: �eception@seahurst.00117
<br /> CONTRACTOR L1C.#{REGIUIRED): SEAHUE1099QN CITY OF EVEREI�HUSINESS LfC.#(REQUIRED): 18T6�
<br /> PRlMARY CONTACT: �OWNER I$CONTRACTOR C7 OTHER(Please Specify)
<br /> CONTACT NAME: Kim Smith CONTACT PHQNE: 425-258-'�8�2
<br /> pm-Jeff Herrmann 2554 coNTacr eMa�: reception@seahurst.com
<br /> AGREEMENT.•!hereby ceriily that i have rsad and examined this epplicatfon and know fha same to be true and corract. AJ!pravlslans aflaws and ordlnances goveming this type
<br /> of woric w!!!be complated whetherspeclfled Aerein ornot. The granting of a parmlt does nnt prasume to give aufhority to vlalate or cance/ihe provisions of any other stats or
<br /> local law rsgulafrng construction or the pedotmance af consinaction. Thal I am aufhorized by the owner of Ih7s prope�ty ta pertorm the wark far which applicatian is made and/
<br /> comply with the State Confracfars Law 1&.27 RCW artd 296.200 WAC.
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<br /> . Clfy af Everstt O�cial Use On7y
<br /> ` PERMIT#
<br /> /�� �r��; � �� .�� ..�� E I� � � J �` �
<br /> O ner thoHz A�� E Signature Data (Revisad 9/Z3/2016)
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