1121 SE EVERETT MALL WAY SNOPAC 2019-01-29

�� 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 1 www.everettwa.gavlpermits PROJECT ADDRESS: 1121 SE EVERETT MALL WAY BUILDING AREA(if residential,new construction, remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS: ]I-d COMMERCIAL USE OF BUILDING: COMMERCIAL 7:a ( f`- CONTRACT PRICE OF WORK: 18000.00 NUMBER OF DEVICES(if low voltissge): na FIRE ALARM? . ❑YES X10 ASSOCIATED BUILDING PERMIT#(if applicable): na DESCRIPTION OF WORK: DEMO& REPLACE LIGHTS —�� --� L 19 ' ° �� .. ' I.; - .}.., • 4 OWNER NAME:,. SNOHOMISH COUNTY ..- ,v r _ NANT NAME(If Commercial): ever ,.., rQt.wx."-Q...'' OWNER MAILING ADDRESS: sTTEET , S , JP CITY STATE z>P OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Seahurst Electric CONTRACTOR ADDRESS: STREET 2915 Chestnut St CITY Everett STATE WA zip 9 AMIE CONTRACTOR PHONE: 425-258-1882 CONTRACTOR EMAIL: reception@seahurst.com CONTRACTOR LIC.#(REQUIRED): SEAHUEIO99QN CITY OF EVERETT BUSINESS LIC.#(REQUIRED) PRIMARY CONTACT: ❑OWNER IN CONTRACTOR 0 OTHER(Please Specify) -A. CONTACT NAME: Kim Smith CONTACT PHONE: 425-258-1882 TEVOR WHETZEL 425-754-3456 CONTACT EMAIL: reception@seahurst.com AGREEMENT.I hereby certify that I have read and ermined 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 nol. 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 t am authorized by the owner of this property to perform the work for which application rs made and I comply with the State Contractors Law 18.27 RCW and 286.200 WAG. - City of Everett Official Use Only • PERMIT# • . Y E 10 F C& •wnerlAuthon - .ant Signature Date (Revised 9/23/2016)