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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov l www.everettwa.gov/permits <br /> PROJECT ADDRESS: 909 North Broadway <br /> BUILDING AREA(if residential,new construction,remodel,or addition)N/A SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Everett Community College <br /> Lill iQ <br /> CONTRACT PRICE OF WORK;$ 9,000.00 <br /> NUMBER OF DEVICES(if low voltage): N/A <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): N/A <br /> DESCRIPTION OF WORK: Restroom Modernization:Amtec Building-Restrooms <br /> OWNER NAME:Everett Community College TENANT NAME(If Commercial):N/A <br /> OWNER MAILING ADDRESS: siReEr 909 North Broadway <br /> crry Everett STATE WA zw 98201 <br /> OWNER PHONE: N/A OWNER EMAIL:N/A <br /> CONTRACTOR NAME: Seahurst Electric <br /> CONTRACTOR ADDRESS: STREET 2915 Chestnut St. <br /> cm Everett STATE WA zos 98201 <br /> CONTRACTOR PHONE: (360) 258-1882 CONTRACTOR EMAIL: reception@seahurst.com <br /> seahurst.com <br /> CONTRACTOR LIC.#(REQUIRED): SEAH U E 1099QN CITY OF EVERETT BUSINESS LIC.#(REOUIRED):18763 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: (425) 258-1882 <br /> Trevor Whetzel CONTACT EMAIL:twhetzel@seahurst.com <br /> AGREEMENT:I hereby certify thet I have reed end examined this application end know the seme to be true end coned. All provisions of laws end ordinances governing this tyi <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 cense!the provisions of eny other state or <br /> local law regulating construction or the performance of construction. That i em euthodied by the owner of this property to pertain the work for which application is made and 1 <br /> comply with the State Contractors Lew 18.27 RCW end 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> EI ' ( Q 77 <br /> OwnerlAuthorl d Agent Signature Date (Revised 9/23/2016) <br />