6133 LAKE CHAPLAIN RD 2020-03-09

425-259-2794 Off:59 p.m. 09-13-2017 2/2 4477 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT;WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits .. -.. ._.......;_..K$:'�'isii�`'F.'i-�=E;?iv>:::�:-.:;.......::a�n:::::a:.�.,:r,,.:u::::........:..s..�...., .:x ztt.._...._ ... ..._.. ....._..;xi.,....:.. .....s...P .. .. _. ,�:�si��»ii:-::�:e:x...,,. F.,?5::::c-::?;x:." PROJECT ADDRESS: 6133 Lake Champlain Rd, MONROE,WA 98272 .x_...x,l...::.::.::. :...x:-_;::>,.r ;_::_;.; :,,::_>s:::;:K;::__:;.;; =;=s <= __==i; = . BUILDING AREA(If residential,new construction,remodel,or addition) SF BUILDING TYPE: O SFR-DETACHED El SF--ATTACHED ❑DUPLEX 0 MULTI-FAMILY-#OF UNITS: Gil COMMERCIAL USE OF BUILDING: Industrial Wa r Filtra 'on Plant s.. 0 __ k .tSg: x �. I t.0A :...4.,. 1 Q. w ': t _ _ f=.:.: : e . W_ : 110: 7 CONTRACT PRICE OF WORK: 10000.00 NUMBER OF DEVICES(if low vo tage): na FIRE ALARM? 0 YES r ri • ASSOCIATED BUILDING PERMIT#(if applicable): na DESCRIPTION OF WORK: False Ceiling Replacement-Electrical repair of code violations identified when ceiling was removed OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CIN STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Seahurst Electric CONTRACTOR ADDRESS: STREET 2915 Chestnut St CIN Everett STATE WA zip ' t CONTRACTOR PHONE: 425-258-1882 CONTRACTOR EMAIL: reception@seahurst.com CONTRACTOR LIC.#(REQUIRED): SEAHUE1099QN CITY OF EVERETT BUSINESS LIC.#(REQUIR`• 18763 PRIMARY CONTACT: I]OWNER all CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: Kim Smith CONTACT PHONE: 425-258-1882 PM -Jeff Hemnann 425-309-2554 CONTACT EMAIL: reception@seahurst.com AGREEMENT:I hereby certify that 1 have read end examined this application and know the same to be true end correct. All provisions of laws and ordinances governing this type 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 slate or 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 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. • City of Everett Official Use Only f PERMIT# 11th ��.�' cl43-17 E q-06(Own/fax horized A e Signature Date (Revised 9/23/2016)