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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 I FAX 425-257-8857 I (E)everetteps@everettwa.gov E www.everettwa.gov/permits <br /> H., <br /> . Y <br /> itiviVr <br /> PROJECT ADDRESS: 901/Evergreen Way g*" <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ®COMMERCIAL <br /> USE OF BUILDING: Commercial <br /> 1 �' E1.E T-4CAL�►FPII�ICA' 1:40'tN�p.. , : xg M � <br /> � Via--,x}a4-.�....:� a._-...- e-� ;^� +;ifl ..�S�i-.^f,�c�c�.^i.�nu�ur'��., r 5r vr, ���r c;�,'t»•r i`.a� v��X'� .��..�,���vAr,a ,v. - e n..,., v�., ,,,.. >v <br /> CONTRACT PRICE OF WORK:$ 600.00 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES ID NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): na <br /> DESCRIPTION OF WORK: Adding (1) receptacle <br /> mss. <br /> .aY-Y E&\`,AA ..,.$.'Ii � ..,a . � .`'.:%,Z-..- ,•. . .-,'r ,P N�0. „ �oN e.. - n�G�"�..,,..s ... .,.,i.,.. .. Zl`.\.�i..: <br /> 'O »A � <br /> OWNER NAME: Judith Anderson TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: 425-773-2275 OWNER EMAIL: <br /> CONTRACTOR NAME: SEAHURST ELECTRIC INC. <br /> CONTRACTOR ADDRESS: STREET 2915 CHESTNUT ST <br /> cm,.EVERETT STATE WA ZIP 98201 <br /> CONTRACTOR PHONE:425-258-1882 CONTRACTOR EMAIL: reception@SeahurSt.COm <br /> CONTRACTOR UC.#(REQUIRED): SEA iluE (Uqq a hl CITY OF EVERETT BUSINESS LIC.#(REQUIRED):)8163 <br /> PRIMARY CONTACT: D OWNER 0 CONTRACTOR D OTHER(Please Specify) <br /> CONTACT NAME: Am g mlc CONTACT PHONE:qA 5 a ,.,/g8a <br /> PM: Jon Novy 425-508-4320 CONTACT EMAIL: l jnovy@seahurst.com <br /> AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. Ail 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 I 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 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> t <br /> fi PERMIT# �, r <br /> 1 %0 l'1`'3 <br /> Owner •uthorized t Signature Date (Revised 9/23/2016) <br />