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425-259-2794 nr n�;10 p.m. 09-13-2017 2/2 <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 /> Par�af,E�terett_-Fuel;pack ; ;- F��JECT SITE �N�ORINATIQN ` , <br /> -� . _.. ::� _ , <br /> - _.:__: <br /> _._ _ <br /> PROJECT ADDRESS: �205 CPaftS(Tiall Way�200 <br /> BUILDING AREA(if residential,new construction, remodef,or addition) SF <br /> BUILDING TYPE: CJ SFR-DETACHED ❑SFR-ATTACHED O DUPLEX �MULTI-FAMILY-#OF UNITS: Ga COMMERCIAL <br /> use oF eui��intc: marine fueling dock <br /> _ : _ <br /> ,... <br /> , _ ,, <br /> _ �E`L� TFr�iC,�� /�P��,IGATION MN�Ottl4'lATI�1N ; <br /> _ . <br /> CONTRACT PRICE OF WORK $(',�20000.� <br /> NUMBER OF DEVICES if low vol : na <br /> FIRE ALARM7 ❑YES � NO <br /> ASSOCIATED BUILDING PERMIT' if a cable : n8 <br /> DESCRIPTION OF WORK: Demo ) Fuel Dispensers on POE-Guest�ock and Instatl (5)new Fuel Dispensers <br /> , < <br /> . <br /> .: - <br /> = CONTq,CT IN�ORMI�#TIO,N ` <br /> _ _._.. ,. . ,. -:,_ . <br /> OWNER NAME: TENANT NAME�If Cammercfiai : <br /> OWNER MAIIING ADDRESS: srnEEr <br /> cilv <br /> STAIE Z�p <br /> OWNER PHONE: aWNER EMAIL: <br /> CONTRACTOR NAME: Seahurst Electric <br /> CONTRACTOR Af]DRESS: smeeT 2915 Chestnut St <br /> cirv Everett sTA� V1I�► Z1P 98 <br /> CONTRACTOR PHOt�[E: 425-258-1882 coNTRacTOR enn<u�: reception@seahurst.CORI <br /> CONTRACT�R UC.#(REquIRED): ��AHUE1099QN CI7Y OF EVERETT BUSINESS LIC.#(REQUIRE j:, 18763 <br /> PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑ OTHER(Piease Specify) `<; �-� <br /> CONTACT NAME: �(jrp S�pltFl CONTACT PFtONE: 425-258-9882 <br /> pm -JefF Herrmann 425-309-2554 coHracT�M,a��: reception@seahurst.com <br /> AGREEMENT.•1 hereby certify thet!have reed and examined this application and know the same ta he true and correct. All provrsions af(aws and ortiinances goveming fhis rype <br /> ol work will ba completed whetherspeci/ied harein ornot. The granting of a permit does not prasume fo giva authonty to violate or cancel Ihe provisions of any other state or <br /> loca!law regulating consfraction or the per/armance ol canstruction. Thsl/am aulh�nzed 6y the owner of fhis pr�perty lo perform the wnrk(or which application is rrtade and 1 <br /> comply wifh the Sfate Contractors Law 18.27 fiCW and 296.20D WAC. <br /> Crty of Eve�stf O�cial Use Only <br /> " �� PERMIT# <br /> �l 9-/� /`7 E ��� - <br /> ne Authoriz�,A'gent Signature �ate (Rovised 9/23/2D16) <br />