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425-259-2794 1:07 a.m. 11-22-2017 2/2
<br /> /111111d---E4 ELECTRICAL PERMIT APPLICATION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT,WA 98201
<br /> (P)425-257-8810 j FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits
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<br /> PROJECT ADDRESS: 6300 MERRILL CREEK PARKWAY SUITE A100
<br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF
<br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: IX COMMERCIAL
<br /> USE OF BUILDING: COMMERCIAL
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<br /> CONTRACT PRICE OF WORK:$ 5000.00
<br /> NUMBER OF DEVICES(if low voltage): NA
<br /> FIRE ALARM? D YES IS NO
<br /> ASSOCIATED BUILDING PERMIT#(if applicable): NA
<br /> DESCRIPTION OF WORK: RELOCATE& RECONFIGURE OVEN CIRCUIT
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<br /> OWNER NAME: MCC-EVERETT-LLC TENANT NAME(If Commercial):
<br /> OWNER MAILING ADDRESS: STREET 600 UNIVERSITY ST STE 2820
<br /> cm, SEATTLE STATE WA zip 98101
<br /> OWNER PHONE: OWNER EMAIL:
<br /> CONTRACTOR NAME: Seahurst Electric
<br /> CONTRACTOR ADDRESS: STREET 2915 Chestnut St
<br /> crr' Everett STATE WA zu, 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 Q OTHER(Please Specify)
<br /> CONTACT NAME: Kim Smith CONTACT PHONE: 425-258-1882
<br /> BRIAN PYLE-425-760-1470 CONTACT EMAIL: reception@seahurst.com
<br /> AGREEMENT:1 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 previsions 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 Law 18.27 RCW and 296.200 WAC.
<br /> City of Everett Official Use Only
<br /> PERMIT#
<br /> 2Z /7 E / (1 - 7
<br /> wner/Autho a= Ign, u Date (Revised 9/23/2016)
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