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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 j(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> �PROJEC'T'SITE INFORMATION-7,:'3)-- --r'',7 <br /> PROJECT ADDRESS: 1928 Wetmore 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: 0 COMMERCIAL <br /> USE OF.BUILDING: Residential <br /> h 1etiai'itittAI,���"PL1tA1fifoN INFORMATION �� 4 <br /> CONTRACT PRICE OF WORK: $ 500 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? ❑YES 10 NO <br /> ASSOCIATED BUILDING PERMIT# if a. iicable': M1812-078 <br /> DESCRIPTION OF WORK: New 30amp Dedicated Circuit for A/C <br /> ...._. <br /> CONTACT INFORMATION <br /> OWNER NAME:Todd Pullman <br /> TENANT NAME(If Commercial): <br /> w <br /> OWNER MAILING ADDRESS: STREET 1928 Wetmore Ave <br /> Corr Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 206-949-4513 OWNER EMAIL toddpullman@hotmail.corn <br /> CONTRACTOR NAME: SEATOWN ELECTRIC CORP <br /> CONTRACTOR ADDRESS: STREET 3431 Broadway <br /> Corr Everett STATE WA zip 98201 <br /> CONTRACTOR PHONE: 206-905-4946 CONTRACTOR EMAIL: permits@seatownservices.com <br /> CONTRACTOR LIC.#(REQUIRED): SEATOEC86ORB CITY OF EVERETT BUSINESS LIC.#(REQUIRED):53916 <br /> PRIMARY CONTACT: 0 OWNER m CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-905-4946 <br /> Bekah Swanson CONTACT EMAIL:permits@seatownservices.com V <br /> AGREEMENT:1 hereby certify that!have read and examined this application and know the same to be true and correct. Ali 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 and 1 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> - r , _ <br /> PERMIT# <br /> - <br /> E <br /> III 1 2/2-7 ill`E <br /> Owner/iv ,. tt Signature Date (Revised 9/23/2016) *" <br /> x <br />