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425-259-2794 0 :24:09 p.m. 06-16-2017 212 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 (E) everetteps@everettwa.gov www.everettwa.gov/permits <br /> __. .. <br /> .. _..._ � ......... ry <br /> .. <br /> PROJECT ADDRESS: 2701 Walnut <br /> BUILDING AREA(if residential, new construction, remodel,or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-4 OF UNITS: ®COMMERCIAL <br /> USE OF BUILDING: commercial <br /> ::._EL»C �+Cp1� !PIWI�TI1ON <br /> CONTRACT PRICE OF WORK: 1500. <br /> NUMBER OF DEVICES if IoW volt e : <br /> FIRE ALARM? ❑YES ba <br /> ASSOCIATED BUILDING PERMIT# I a licable : na <br /> DESCRIPTION OF WORK: ADD (2) CIRCUITS FOR POP MACHINE S: COFFEE MAKER <br /> CONTACT.,INORMATION <br /> OWNER NAME: MIKE STEPHENSON/LES SCHWAB TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Seahurst Electric <br /> CONTRACTOR ADDRESS: STHEET 2915 Chestnut St <br /> CITY Everett STATE WA ZIP 98201 <br /> CONTRACTOR PHONE: 425-258-1882 CONTRACTOR EMAIL: reception@Seahurst.com If <br /> CONTRACTOR UC,#(REQUIRED): SEAHUE1099QN CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 8763 <br /> PRIMARY CONTACT: ❑OWNER ®CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: Kim Smith CONTACT PHONE: 425-258-1882 <br /> jJon Novy- PM CONTACT EMAIL: <br /> reception@seahearst.com <br /> AGREEMENT-I hereby certify that I have read and examined this application and know the samo to be true and 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 and I <br /> comply with the State Contractors taw 18.27 RCW and 296.200 WAC. <br /> City of Everett Oficial Use Only <br /> PERMIT# <br /> 4 -17 E (--)o(, - � 4 1� <br /> Owner/Authorized A ant Signature Date (Revised 9/23/2016) <br />