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• <br /> �� 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 I www.everettwa.govlpermits <br /> 7. � WI __,. Pitoj ,1_'Et�,. ::::m,,,s ,. <br /> PROJECT ADDRESS: 6300 Merrill Creek Parkway Suite A100 <br /> BUILDING AREA(if residential,new construction, remodel,or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: Ga COMMERCIAL <br /> USE OF BUILDING: manufacturing <br /> ' c. 7' .ICA I e. It•°[ x V r D r { a 7 `' <br /> CONTRACT PRICE OF WORK: $ 1500.00 <br /> NUMBER OF DEVICES(if low voltage): na <br /> FIRE ALARM? 0 YES IE NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable):na <br /> DESCRIPTION OF WORK: Install (2) 120v circuits for lunch room. Replace fixture ballast as needed. <br /> r ;�� � k r a' -.17,7 <br /> m . .,.‘"1 �Y& �`� qd.,�' '�'':d tF" to�a ',�� <br /> m :,.. < 1 0 4°C ±��r c, n2sF*t^#alr^;`i =a 3: r ,I,,...''..:: . ' s.. .. <br /> . <br /> OWNER NAME: TENANT NAME(If Commercial): Applied Technical Services <br /> OWNER MAILING ADDRESS: STREET <br /> CIN STATE ZIP <br /> OWNER PHONE: 425.249-5547 lOWNER EMAIL: <br /> CONTRACTOR NAME: Seahurst Electric <br /> CONTRACTOR ADDRESS: STtzEEI 2915 Chestnut St <br /> c,,,, Everett STATE WA 21, 98201 <br /> CONTRACTOR PHONE: 4254584882 CONTRACTOR EMAIL: receptionJseahurst.com <br /> CONTRACTOR LIC.#(REQUIRED); SEAHUEI099QN CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 18763 <br /> PRIMARY CONTACT: ❑OWNER ®CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: Kim Smith CONTACT PHONE: 425-258-1882 <br /> CONTACT EMAIL: reception@seahurst.com <br /> AGREEMENT:f hereby certify that 1 have mad and examined this application and know the same to be true and Correct. Ali provisions of taws and ordinances governing this type <br /> of work mil be completed whether specified herein or not, The granting of a permit does not presume to give authonty to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction That 1 am authorized by the owner of this property to perform the work for which applicat,on is made and t <br /> comply with the State Contractors Law 48.27 RCW and 296.200 WAS. <br /> City of Everett Official Use Only <br /> • PERMIT#1{ E �ZOQ - 02 �- <br /> n Au . Agent Signature Date (Revised 9/23/2016) <br />