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425-259-2794 37:20 a.m. 06-27-2017 2/2 <br /> � � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8610 � FAX 425-257-6857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits <br /> . .. _:_. p��,��C�5[T� INFORNl�TMQN _.:. <br /> .� -- . -.- _:::__. _,: _::- _.;.,,:. _ ..,__, <br /> PRaJEcr a,onRess: z920 TERMINAL WAY <br /> BLIILDING AREA((f residentlal,new constructkon, remndel,or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACNED � 5FR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: �COMMERCIAL <br /> use oF eut�ptNc: PORT OF EVERETT SHIPPING TERMINALS <br /> _ , ,. .. _ <br /> ` - ; ELECTRICAL APPLICATIO�I INFORMATIQN. ` ;;. '. <br /> _._ . . _-... <br /> CONTRACT PRICE OF WORK: $ 10000.00 <br /> NUMBER OF DEVICES if low volta e : <br /> FIRE ALARM? ❑YES �NO <br /> ASSOCIATED BUILDING PERMIT# if a licable : <br /> beSCRtPTtON oF WORK: INSTALL (5) BLUE WARNING LIGHTS FOR THE RAIL ALERT SYSTEM <br /> .> . ' ; ..' ': ;: CQ,NTAGT INFORMATION <br /> _ . ..: <br /> . . , . . ::: . <br /> _... .. <br /> OWNER NAME: PORT OF EVERETT 'TENANT NAME(if Commercial): <br /> OWNER MAILING AdDRESS: sTrteer <br /> �m STAiE <br /> ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Seahurst Electric <br /> CONTRACTOR ADDRESS: s�E�r 2915 Chestnut St <br /> �r,,, Everett gTATE Wq <br /> ziP 98201 <br /> CONTRACTOR PHONE: '425-25$-1882 coNTRacroR ennai�: reception@seahurst.com <br /> cor�rRACTOR uc.#�REQuiREo�: SEAHUE9099QN CITY OF EVERETf BUSINESS LIC.#(RE�uIRED}: ')$763 <br /> PRIMARY CONTACT: O OWNER �CONTRACTOR ❑OTHER(Please Speclfy) <br /> CONTACT NAME: Kifll S1711tF1 CONTACT PHaNE: 425-25$-'�$$2 <br /> PM -Jeff Henmann coNTAcr FMai�: reception@seahurst.com <br /> AGREEMENT:I heisby certify thal I have reed and examined this app/ication and know fhe same to 6e true and corract. Afl prov/sions o�laws end ordlnances goveming this fype <br /> of work wr!!be complefed whether specified herein ornot. The granting of a peirnit does not presume to give authonty fo vio/ate or cancel(he provisians of any ofher sfete or <br /> local faw regulafing construction or fhe parformence ol construcfion. Thet/am authonzed 6y the owner of this property(o per(orm tha work for whrch applicafion is made and I <br /> cnmply with the State Contractors Law 1H.27 RCW and 296.20D WAC. <br /> City o(Everett O�cia/Use Only <br /> PERMIT# <br /> � � �►7 E �� �C�-��� <br /> Ow r uthorize e fgnature pate (Rovisad 8/23/ZU16J <br />