1625 EDGEMOOR LN 2019-01-28 - 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 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits �"� PROJECTSIi"1' I(NPORNII >' . y y...': PROJECT ADDRESS: 1625 Edgemoor Lane Everett WA 98203 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: SFR k ELECTRICAL AP LICAT ottC0R. ..1 t„_. iii\ w. CONTRACT PRICE OF WORK:$ 810.00 NUMBER OF DEVICES(if low voltage): 1 FIRE ALARM? D YES Pi NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: INSTALLATION OF A CIRCUIT TO ACCOMMODATE AN EV CHARGER ;4MW z ,:. CONTACT INFORNIA1"�ON I � W OWNER NAME:WARD CHOW(SE#543455) TENANT NAME(If Commercial): OWNER MAILING ADDRESS: smREET 1625 EDGEMOOR LANE erry EVERETT STATE WA mp 98203 OWNER PHONE: 509.999.2100 OWNER EMAIL:SWIGCHOW@ME.COM CONTRACTOR NAME: SEAHURST ELECTRIC, INC. CONTRACTOR ADDRESS: STREET 2915 CHESTNUT ST. WY EVERETT STATE WA zi. 98201 CONTRACTOR PHONE: 425.258.1882 CONTRACTOR EMAIL: SWILLMORTH@SEAHURST.COM CONTRACTOR LIC.#(REQUIRED): SEAHUE1099QN CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 18763 PRIMARY CONTACT: 0 OWNER ®CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.238.7724 ROB LAVES CONTACT EMAIL:RLAYES@SEAHURST.COM AGREEMENT,-'l 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 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 tam authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 1x,27 RCW and 296.200 WAC, City of Everett Oficial Use Only PERMIT# Ruts ; � . SAP EIS l 62_ Owner/Authorized Agent Signature Date (Revised 9/23/2016)