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425-259-2794 =:14 p.m, 09-15-2017 2/2
<br /> �� ELECTRICAL PERMIT APPLICATION
<br /> 017-4
<br /> 1 CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT,WA 98201
<br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits
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<br /> PROJECT ADDRESS: 3000 ROCKEFELLER AVE
<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: IN COMMERCIAL
<br /> USE OF BUILDING: SNO CO ADMIN E•
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<br /> CONTRACT PRICE OF WOR $ 1 tot,600.0.0
<br /> NUMBER OF DEVICES (if low oltage): NA
<br /> FIRE ALARM? 0 YES N•
<br /> ASSOCIATED BUILDING PERMIT#(if applicable): NA
<br /> DESCRIPTION OF WORK: ENERGY CONSERVATION LIGHTING UPGRADE
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<br /> :............ .
<br /> ,
<br /> OWNER NAME: SNOHOMISH COUNTY TENANT NAME(if Commercial):
<br /> OWNER MAILING ADDRESS: STREET
<br /> CRY STATE ZIP
<br /> OWNER PHONE: OWNER EMAIL:
<br /> CONTRACTOR NAME: Seahurst Electric
<br /> CONTRACTOR ADDRESS: STREET 2915 Chestnut St
<br /> my Everett STATE WA ZiP 98201
<br /> CONTRACTOR PHONE: 425-258-1882 CONTRACTOR EMAIL: reception@seahurst.com
<br /> CONTRACTOR UC.#(REQUIRED): SEAHUE1099QN CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 18763
<br /> PRIMARY CONTACT: 0 OWNER ®CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME: Kim Smith CONTACT PHONE: 425-258-1882
<br /> PM-TERRY HICKS 425-754-2987 CONTACT EMAIL: reception@seahurst.com
<br /> AGREEMENT:I hereby certify that i have reed and examined this application and know the same to be true and correct. All 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 ar the performance of construction. That l 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 end 296.200 WAC.
<br /> City of Everett Official Use Only
<br /> f41/A ?-/r17 E
<br /> PERMIT#
<br /> Owner/Authon dif gent Signature Date (Revised 9/23/2016)
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