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425-259-2794 • 0,3,55 p.m. 10-20-2017 2/2 <br /> OLT ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 1 FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> Snohomish Cou-ntyL ghting,Upgradgs PROJECT SITE 1NFi...... ION....:: .'. . ... _._.:..__ .. <br /> PROJECT ADDRESS: 1918 Wall St <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-4/OF UNITS: 51 COMMERCIAL <br /> USE OF BUILDING: "Old Jail"Community Con-ections/Work Release Building <br /> ELECTS ICAL;#P !"1. AT[oN INFORMATION <br /> CONTRACT PRICE OF WORK: $ 131604.40 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES ® NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): na <br /> DESCRIPTION OF WORK: ENERGY CONSERVATION LIGHTING UPGRADE; ALTERING CIRCUITS LOWERIN 3 <br /> LOADS <br /> :CONTACT INFORMATION...._.. <br /> OWNER NAME: SNOHOMISH CO PROP MGMT TENANT NAME(If Commercial): Community Corrections/Work <br /> OWNER MAILING ADDRESS: STREET 3000 ROCKEFELLER AVE M/S404 Release Building <br /> CrTY EVERETT STATE WA ziP 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Seahurst Electric <br /> CONTRACTOR ADDRESS: STREET 2915 Chestnut St <br /> „Ty Everett STATE WA <br /> Z,P 98201 <br /> CONTRACTOR PHONE: 425-258-1882 CONTRACTOR EMAIL: reception@seahurst.com <br /> CONTRACTOR UC.#{REQUIRED): SEAN UEl099QN CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 18763 <br /> PRIMARY CONTACT: ❑OWNER I CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: Kim Smith CONTACT PHONE: 425-258-1882 <br /> PM-TERRY HICKS -425-754-2987 CONTACT EMAIL: reception@seahurst.com <br /> AGREEMENT:I hereby certify that I have read and examined this application and know the same 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 lam authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the Stale Contractors Law 18.27 RCW and 296.200 WAC. <br /> �`4 A City of Everett Otricial Use Only <br /> ) f6 g /� PERMIT# <br /> jj 77 �r r // j � r <br /> / I E <br /> O1fvnef/A6thortzed AgentIgnature Date (Rovtsod 9/23/2016) <br /> f <br />