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425-259-2794 ��:21 a.m. 07-13-2017 2/2
<br /> ELECTRICAL PERMIT APPLtCATION
<br /> C1TY OF EVERETT P�RMIT SERVICES
<br /> 3200 CEDAR STREET, EVERET�,WA 98201
<br /> (P)425-257-8610 � �AX 425-257-8857 �`�E)everetteps@everettwa.gov� www.everet#wa.gov/pe�nits
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<br /> PROJECT ADDRESS: SOEIth DOCIC D -1205 Craftsman Way(PORT of EVERETT)
<br /> BUILDING AFtEA(If resldential,new canstraction,remodel,or addillon) SF
<br /> BUILDING TYPE: EI SFR-DETACHED ❑SFR-ATi'ACHED �DUPLEX ❑MULTI-FAMILY-#OF UNITS: I�COMMERCIAL
<br /> USE OF BUILDING: Marina
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<br /> CONTRAGT PR10E OF WORK:$ 5000.00
<br /> NUMBER OF DEViCES if law volta e : ��a
<br /> FERE ALARM7 ❑YES �NO
<br /> ASSOCIA7ED BUILDtNG PERMt7# if a licable :
<br /> DESCRIPTION OP WORK: Enstall (4) 50A Marine Power Pedestals
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<br /> OWNER NAME: POl'#Of EVeI'ett 'CENANT NAME !f Cammercial:
<br /> OWNER MAILING ADDRESS: STREET
<br /> Contact: Greg Dawsey �,N STA� Z�
<br /> owNER PHONE: (425)530-5222 owNER EMAI[.: GDawsey@portafeverett.com
<br /> .......
<br /> CON7RACTOR NAME: Seahurst Electric
<br /> CONTRACTOR ADDRESS: STREET 2915 Chestnut St
<br /> �,,,. Everett gpq� WA Z,P 98201
<br /> CONTRACTOR PHONE: 4'25-258-�8$2 CON'fRACTOR EMAIL: reception@seahurst.COfll
<br /> CONTRAGTOR UC.#(RE�UIRED): SEAHUEI O99QN Ct7Y OF EVERETf HUStNESS LIC:#(RE(]UIRED): 18763
<br /> PRIMARY CONTACT: ❑OWNER IID CONTRACTOR ❑OTHER(PEsase Specify) ,
<br /> CONTACT NAME: K[T11 SR'11�h CONTACT PHONE: 42$-258-18$2
<br /> PM -Jeff Henmann 425-309-2554 CONTACT EMA[L: ���gption@seahurst.com
<br /> AGREEMENT:!haraby cartify that/have rsed and exemined this applicatian and know the seme fo 6g hue artd correct Al/pravisions qf laws and ordlnences gaveming this type
<br /> oT work will 6e complefed whethar spacifrad hereln ornot. The granting of a permif does not presume fo glva aufhority to violate or cencel the provisinns of eny ofher sfafe ar
<br /> local!aw rsgulating conslrucFion orlhe performance of canshuctlan. That I am authorized by fhe owner of this properfy fo perinnn Ihe wark for which epplicafion Is made and/
<br /> comply witfi lhe State Contractors Law iB.27 RCVS�and 296.200 WAQ
<br /> � Cify af�verett O�clal Uss Only
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<br /> PERMIT#
<br /> `� � I3-�� E ��� - �� �
<br /> Own r/Authorizad a Signature Date (Revlsad 8/Z3/Z096}
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