6830 HIGHLAND DR 2018-09-11 - Laserfiche WebLink

- . ELECTRICAL PERMIT APPLICATION :._. CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.govlpermits ] [A7 i.... -� iia. ._._ U 7-- -1.....^•i �A k 1-...PROJECT ADDRESS: 6830 HIGHLAND DR BUILDING AREA(if residential,new construction,remodel,or addition) 0 SF BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX ❑MULTI-FAMILY-#OF UNITS: MI COMMERCIAL USE OF BUILDING: church ATIQN i .447 CONTRACT PRICE OF WORK: $ 2200.00 NUMBER OF DEVICES if low volta.e: na FIRE ALARM? 0 YES ID NO ASSOCIATED BUILDING PERMIT# if a•.Iicable: na DESCRIPTION OF WORK: Add(2)circuits&(5)receptacles in balcony � ' OA :.- OWNER NAME: TENANT NAME If Commercial : New Life Church OWNER MAILING ADDRESS: STREET CITY STATE zrP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Seahurst Electric CONTRACTOR ADDRESS: STREET 2915 Chestnut St CITY Everett STATE WA ZIP 98201 CONTRACTOR PHONE: 425-2558-1882 CONTRACTOR EMAIL: reception d@seahurst.com CONTRACTOR LIC.#(REQUIRED): SEAHUEI099QN CITY OF EVERETT BUSINESS LIC.#IREQUIRED): 18763 PRIMARY CONTACT: ❑OWNER IN CONTRACTOR la OTHER(Please Specify) CONTACT NAME: Kim Smith CONTACT PHONE: 425-258-1882 Jon Novy-425-508-4320 CONTACT EMAIL: receptioncseahurst.com AGREEMENT:t hereby certify that 1 have read end examined this application and know the same to be true and Correct. Ali provisions of laws and ordinances governing this type 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 local law regulating construction or the performance of construction. That f am authorized by the owner of this property to perform the work for which application is made and t comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERW1 .- E 001 0'1(0 wnarlAuthon -• + S ent Signature Date (Revised 9/23/2016)