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ELECTRICAL PERMIT APPLICATION <br /> 'IE►�a - 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( vvww.everettwa,govipermits <br /> PROJECT SITE INFORMATIEON'''' <br /> PROJECT ADDRESS: 3920 NASSAU ST. EVERETT WA 98201 <br /> BUILDING AREA(if residential, new construction, remodel,or addition)N/A SF <br /> BUILDING TYPE: 0 SFR-DETACHED l I SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS:, 0 COMMERCIAL <br /> USE OF BUILDING: Single Family Residence <br /> uu <br /> 71 ELECTRICAL APPA LiICA"�"IO NIF�ORMkTION it <br /> '�.��- .. -.YD�aC�c`wrn.e. ., n. ... ,'Y ,.k..LS.�,....... « _<G.,.�4":A ....,�.�. .... ��3�*�4'�T �,h <br /> CONTRACT PRICE OF WORK:$ 810.00 <br /> NUMBER OF DEVICES(if low voltage): 1 <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: INSTALLATION OF A CIRCUIT TO ACCOMMODATE AN EV CHARGER <br /> CO NTACTINF0RMATtON <br /> OWNER NAME: CONNIE CATHCART(SE#540735) TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 3920 NASSAU ST <br /> CITY EVERETT STATE WA ZIP 98201 <br /> OWNER PHONE: 415.370.8531 OWNER EMAIL:CONLCATHCART@GMAIL.COM <br /> CONTRACTOR NAME: SEAHURST ELECTRIC <br /> CONTRACTOR ADDRESS: STREET 2915 CHESTNUT STREET <br /> CIT( EVERETT STATE WA ZIP 98201 <br /> CONTRACTOR PHONE: 425.258.5126 CONTRACTOR EMAIL: SWILLMORTH@SEAHURST.COM <br /> CONTRACTOR LIC.#(REQUIRED): SEAHUE1099QN CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 18763 <br /> PRIMARY CONTACT: 0 OWNER 121 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425,238.7724 <br /> ROB LAVES CONTACT EMAIL: RLAYES@SEAHURST.COM <br /> AGREEMENT;t hereby certify that t 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 t 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 78,27 RCW and 2913.210 WAC <br /> City of Everett Official Use Only <br /> • PERMIT# <br /> o E lbo5-C62 <br /> Owner/Authorized Agent Signature Date • (Revised 9/23/2016). <br />