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00.I ,_ 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 I www.evereitwa.goviperrnits <br /> d fit' OJ C a SI ae uoN h <br /> ..aaai.mww4 <br /> .� fi.4t9M <br /> PROJECT ADDRESS: 4007 Grand Ave <br /> 'BUILDING AREA(if residential, new construction, remodel,or addition)Residential SF <br /> 'BUILDING TYPE: m SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: Cl COMMERCIAL <br /> ` <br /> USE OF BUILDING: Residential <br /> { <br /> , <br /> CONTRACT PRICE OF WORK:$ 2000 <br /> NUMBER OF DEVtCES if low volta•e : N/A <br /> FIRE ALARM? 0 YES 21 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): M1901-066 <br /> DESCRIPTION OF WORK: Electrical for Gas Furnace Replacement <br /> 9•10.111101111111111. - ..•.. WYMIISs**aia1....Mlss�IWMEINIMIlleo <br /> s. 1„17,77147:6 ,4iltrINFoRlitittiON <br /> `OWNIER NAME: James Bowman TENANT NAME,(If Commerclal: <br /> OWNER MAILING ADDRESS: STREET 4007 Grand Ave ) !t <br /> CITY Everett STATE WA ,z,s 98201 <br /> OWNER PHONE: 425-252-8920 OWNER EMAIL:james579579579@grrlail.com <br /> CON RACTOR NAME: SeaTown Electric Corp. <br /> CONTRACTOR ADDRESS: STREET 3431 Broadway <br /> cm Everett STATE.WA 21P 9821 <br /> CONTRACTOR PHONE: 206-905-4946 CONTRACTOR EMAIL: permits@seatownservices.com <br /> CONTRACTOR LIC.#(REQUIRED): SEATOEC86ORB (TTY OF EVERETT BUSINESS LIC.PRE Q1.11R{D;; 53916 <br /> `PRIMARY CONTACT: Cl OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: <br /> 206-905-4946 <br /> Bek Swanson CONTACT EMAIL: permits@s atownsefvices.Ccm <br /> AGREI_MENT:I hereby certify that I have read and examined this application and know the same to be true and correct. A1pro'✓isions of lays and ordinances governing this type <br /> of wot k will be completed whether specified herein or not. The granting of a permit does not presume to give authority to volate or cancel the pmvisians of an/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 app icaticn is made and t <br /> comply with the State Contractors Law 18,27 RCW and 296.200 WAC. <br /> s <br /> i <br /> 1 <br /> E <br /> City of Everett Orticial L<:,e Only <br /> , .410.4.•alowI <br /> PERMIT f? <br /> Op <br /> E \01, b \ \)_61 <br /> ...... iiiiiiii 1 <br /> MAW ......• 41.11.111010.1111M101044**141141:41111110164,110 4111.1111101111. <br /> Own,= I arized A••nt Signature Date (Revised 9/23/2016) <br />