Laserfiche WebLink
425-259-2794 ": _2:22 p.m. 07-14-2017 2/2 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S7REET, EVERETT,WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov� www.everettwa.gov/permits <br /> ,:.:, ... `. .___ r.::...�._...._... _ � . . ...,::.. .�._... .._�'Ra.1��'f`��TE M�IF�RM;idiTt�'i� _ <br /> - ----.. ___. ___..... _... <br /> PROJECT ADDRESS: "I O'I O LANE PL <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUII.DING TYPE: �5FR-DETACHED 0 SFR-ATTACHE� ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> USE OF BUILDING: RESIDEN7IAL <br /> : : EM-�� IGAL APPLI�AT�G� ��!N�D�MNaTIQN,, _ r.._:_:�____...:: <br /> CONTRACT PRICE OF WORK: 300.00 <br /> NUMBER OF DEViCES if low volt e : � <br /> F1RE ALARM? ❑YES ��, �N(7 , <br /> ASSOCIATED BUfLDING PERMIT#'' licable : <br /> DESCRIPTION OF WORK: INSTALL NEW WATER HEATER CIRCUIT <br /> i' ' ' i , CONTAC7!��F0�111�ATIOiN . :, <br /> ___................_...... <br /> owNeR NAnne: STEPHANIE ROTHMAN TENANT NAME(If Commercial): <br /> OWNER MAIUfJG A�DRE55: srr�eeT �$130 60th PI NE <br /> c� Kenmore srA� WA Z1P 9802$ <br /> OWNER PHONE: OWNER EMAiL: hey�OCky@CO17'1C85f.net <br /> CONTRACTOR NAME: SBehurst E18Ct�iC <br /> CONTRACTOR ADDRESS: sTaEEr 2915 Chestnut St <br /> �,TM Everett ST,,� WA Z,� 98201 <br /> CONTRACTOR PHONE: '4'25-258»1882 coNrRacTOR Enna��.: reception@seahurst.COfil <br /> CONTRAC70R LIC.#(REQUIRED): SEAHUE1099QN CITY OF EVERETT BUSfNESS LIC.#(REQUIRED): 1$76 <br /> PRIMARY CONTACT: p OWNER L�CONTRACTOR ❑OTHER(Please 5peaiEy) <br /> CONTACT NAME: Kim Smith CON7ACT PHONE: 425-258-1882 <br /> PM - Ross Prather 425-754-6077 coNTACT EMa��_ �eception@seahurst.com <br /> AGREEMENT•I hereby certify thet I hsve reed end examined thls applicetran end know the same to 6e true artd correst Ad provisions af faws and ordinences goveming ihis typa <br /> o(work will be campleted whetherspeci�ed hs�ain ornot. The granfing of a permit does not presuma to give euthonty to vioiate ar cancel ihe pinvisions of any olherslate or <br /> loca!/ew regulating constn�etion or the par(ormanco of construction. That I am authorized 6ylhe owner of this proparty to porfnrm the work for which applicafion is made and! <br /> comply with the State Contracfnrs Law 18.27 RCW and 296.200 WAC. <br /> Cilyot Everstt O�cial Use Onfy <br /> ' � � j PERMIT# <br /> �i '� ' �U -�`�-f� E ���- - O� Z <br /> O ner uthorlYe Agent Slgnature Date (Rovlsed 9/23/2016) <br />