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425-259-2794 02:53:40 p.m. 03-30-2017 2/2
<br /> ELECTRICAL PERMIT APPLICATION
<br /> I�►' l CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT,WA 98201
<br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits
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<br /> PROJECT ADDRESS: 4007 Federal Ave
<br /> BUILDING AREA(If residential,new construction,remodel,or addition) 1400 Approx SF
<br /> BUILDING TYPE: nia SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL
<br /> USE OF BUILDING: Residential
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<br /> CONTRACT PRICE OF WORK: 250.00
<br /> NUMBER OF DEVICES(if low v stage):
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<br /> FIRE ALARM? 0 YES ►: O
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<br /> ASSOCIATED BUILDING PERMIT#(if applicable:
<br /> DESCRIPTION OF WORK: Minor corrections to 125Amp panel
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<br /> OWNER NAME: Will Bardes TENANT NAME(If Commercial):
<br /> OWNER MAILING ADDRESS: STREET Box 70
<br /> cm Bridesville (CANADA) STATE B.C. zip VOH-1 BO
<br /> OWNER PHONE: 360-333-8570 OWNER EMAIL: willbardes@gmail.com
<br /> CONTRACTOR NAME: Seahurst Electric
<br /> CONTRACTOR ADDRESS: 2915 gagrstnut St
<br /> EvereatySTATE WA zip 98201
<br /> CONTRACTOR PHONE: 425-258-1882 CONTRACTOR EMAIL: reception@seahurst.com
<br /> CONTRACTOR LIC.#{REQUIRED): SEAHUE1099QN CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 18763
<br /> PRIMARY CONTACT: Q OWNER ®CONTRACTOR ❑OTHER(Please Specify)
<br /> CONTACT NAME: Kim Smith CONTACT PHONE: 425-258-1882
<br /> CONTACT EMAIL: reception@seahurst.COm
<br /> AGREEMENT:I hereby codify that I have need end examined this application end know the same to be true and correct. All provisions of laws end ordinances governing this type
<br /> of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or
<br /> local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I
<br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC.
<br /> City of Everett Official Use Only
<br /> PERMIT#
<br /> 44 a -3©17 E �
<br /> O ne uthorlted e n Signet re Date
<br /> (Revised 9/23/2018)
<br />
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