3231 LOMBARD AVE HALVERSON LAW OFFICE 2019-02-11

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.govtpermits �`� :� PROJECT SATE INF : MATION PROJECT ADDRESS: 3231 LOMBARD AVENUE, EVERETT WA 98201 BUILDING AREA(if residential,new construction, remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED m SFR-ATTACHED ❑DUPLEX 0 MULTI-FAMILY-#OF UNITS; 0 COMMERCIAL USE OF BUILDING: LAW OFFICE ELECTRICAL'APPLICATION INFORMATION '. .... . CONTRACT PRICE OF WORK:$ 750 NUMBER OF DEVICES(if low voltage): 1 FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: INSTALLATION OF A CIRCUIT TO ACCOMMODATE AN EV CHARGER :CONTACT INFORMATION OWNER NAME: KAREN HALVERSON TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 31101 NE 200TH STREET cmr DUVALL STATE WA z;p 98019 OWNER PHONE: 425.320.7924 OWNER EMAIL: KARENHALVERSON@ICLOUD.COM CONTRACTOR NAME: SEAHURST ELECTRIC, INC. CONTRACTOR ADDRESS: STREET 2915 CHESTNUT ST are EVERETT STATE WA ER 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 CZI CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.238.7724 ROB LAYES CONTACT EMAIL:RLAYES©SEAHURST.COM AGREEMENT I hereby certify that 1 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 focal 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 f comply with the State Contractors Law 1627 RCW and 296.200 WAC City of Everett Official Use Only PERMIT# St4I-W-; ,n 8-548 E <pS �-- Owner/Authorized Agent Signature Date (Revised 9/23/2016)