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425-259-2794 50:48 a.m. 08-02-2017 2/2
<br /> ELECTRICAL PERMIT APPLICATION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT,WA 98201
<br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov( www.everettwa.gov/permits
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<br /> PROJECT ADDRESS: 2221 LOMBARD
<br /> BUILDING AREA(If residential,new construction,remodel,or addition) SF
<br /> BUILDING TYPE: 0 SFR-DETACHED ❑ SFR-ATTACHED LI DUPLEX 0 MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL
<br /> USE OF BUILDING: RESIDENTIAL
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<br /> CONTRACT PRICE OF WORK:$ 300.000
<br /> NUMBER OF DEVICES(If low voltage):
<br /> FIRE ALARM? ❑YES 0 NO
<br /> ASSOCIATED BUILDING PERMIT#(if applicable):
<br /> DESCRIPTION OF WORK: MAKE CONNECTIONS FOR TANKLESS WATER HEATER AND EXAMINE WIRING
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<br /> OWNER NAME: DILEEP LEKKALA TENANT NAME(If Commercial):
<br /> OWNER MAILING ADDRESS: STREET 21810 42ND AVE SE
<br /> CITY BOTHELL
<br /> STATE WA
<br /> ZIP
<br /> OWNER PHONE: 425-785-7523 OWNER EMAIL:
<br /> CONTRACTOR NAME: Seahurst Electric
<br /> CONTRACTOR ADDRESS: STREET 2915 Chestnut St
<br /> cm Everett STATE 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: ❑OWNER ®CONTRACTOR ❑OTHER(Please Specify)
<br /> CONTACT NAME: Kim Smith CONTACT PHONE: 425-258-1882
<br /> PM-ROSS PRATHER 425-754-6077 CONTACT EMAIL: reception@seahurst.com
<br /> AGREEMENT:I hereby certify that I have reed and examined this application and know the same to be true end correct. All provisions of laws and 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 end
<br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC.
<br /> City of Everett Oficial Use Only
<br /> PERMIT#
<br /> •
<br /> g-2-.- 7 E 0/6
<br /> O nor Authorized •t Signature Date
<br /> (Revised 9/23/2018)
<br />
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