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425-259-2794 =:07 p.m. 10-13-2017 2/2
<br /> ELECTRICAL PERMIT APPLICATION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT,WA 98201
<br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits
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<br /> PROJECT ADDRESS: 6133 LAKE CHAPLAIN RD
<br /> BUILDING AREA(If residential,new construction,remodel,or addition) SF
<br /> BUILDING TYPE: 0 SFR-DETACHED ❑SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: I COMMERCIAL
<br /> USE OF BUILDING: COMMERCIAL WATER FILTRATION PLANT- MONROE
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<br /> CONTRACT PRICE OF WORK:$ 15000.00
<br /> NUMBER OF DEVICES(if low voltage):
<br /> FIRE ALARM? 0 YES IX NO
<br /> ASSOCIATED BUILDING PERMIT#(if applicable): NA
<br /> DESCRIPTION OF WORK: ELECTRICAL AND DATA UPGRADES TO CONTROL ROOM
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<br /> OWNER NAME: CITY OF EVERETT 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: STREET 2915 Chestnut St
<br /> cm, Everett STATE WA ZIP 98201
<br /> CONTRACTOR PHONE: 425.258-1882 CONTRACTOR EMAIL: reception@seahurst.com
<br /> CONTRACTOR LIC.#(REQUIRED}: SEAHUE1099QN CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 18763
<br /> PRIMARY CONTACT: 0 OWNER IX CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME: Kim Smith CONTACT PHONE: 425-258-1882
<br /> PM-JEFF HERRMANN 425-309-2554 CONTACT EMAIL: reception@seahurst.com
<br /> AGREEMENT:I hereby certify that I have mad 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 I am authorized by the owner of this property to perform the work for which application is made and 1
<br /> comply with the Stale Contractors Law 18.27 RC W and 296.200 WAC.
<br /> City of Everett Official Use Only
<br /> PERMIT#
<br /> 111011* -817 E L-110 - 014
<br /> °Wrier/Authorized tiit Signature Date (Revised 9/23/2016)
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