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a6-6) <br /> ie, 00 <br /> S� 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 1 (E)everetteps@everettwa.gov} www.everettwa.gov/permits <br /> -p,. <br /> PROJECT ADDRESS: 3a10 36rN /Ng <br /> BUILDING AREA(if residential,new construction.remodel,or addition) SF <br /> BUILDING TYPE: D SFR-DETACHED 0 SFR-ATTACHED ©DUPLEX D MULTI-FAVI ILY-#OF UNITS: XCOMMERCIAL <br /> USE OF BUILDING: COM rr1 rC4a. I <br /> e n. . <br /> � z2 <br /> CONTRACT PRICE OF WORK: $ LA Dill, <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? ❑YES XNd <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF wo K: Ltghi-inq rerf lr) repincement and u p and e.s <br /> in F-i Piad rttme.. ,� VV <br /> OWNER NAME: ', TENANT NAME(If Commercial: <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PRONE: OWNER EMAIL: <br /> CONTRACTOR NAME: SEAHURST ELECTRIC INC. , <br /> CONTRACTOR ADDRESS: STREET2915 CHESTNUT ST <br /> City EVERETT STATE WA 21p 98201 <br /> CONTRACTOR PHONE:425-2581882 [CONTRACTOR EMAIL: reception@seahurst.com <br /> CONTRACTOR LIC.t#(RECUIRED : se A Nue.EOQ9 Q 0 JCITY OF EVERETT BUSINESS LIC.#(RECtuiRED):18 76 <br /> PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: K tri Skri;- -1'L. CONTACT PHONE:L(P1 K,, a f, -/F8a <br /> P ' briar, ' k. `1,26-7 ._ - I 0 CONTACT EMAIL r CCe.t on i_s-if Ern . !u <br /> AGREEMENT:I hereby certify that 1 have read and examined this application and know the same 10 ha true end correct. All provisions or laws and ordinances governing this type <br /> of work will be completed whether speclfled herein or nor The granting of a permit does not presume to give authority to violate or cancel the provisions of any other slate or <br /> !oral lawragulating construction or the performance of construction. That I am authorized by the owner of this property to perform the wnrk 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 /> 1 <br /> r () it PERMIT# <br /> r <br /> Owner :uthorizediV t Signature Date (revised V2312o16) <br />