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425-259-2794 III9:32 p.m. 12-27-2017 2/2
<br /> ELECTRICAL PERMIT APPLICATION
<br /> 4477. CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT',WA 98201
<br /> (P)425-257-8810 I 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: ❑SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: i$COMMERCIAL
<br /> USE OF BUILDING: SNO COUNTY PUBLIC OFFICES&COURTS
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<br /> CONTRACT PRICE OF WORK: $ til 6-,D�C.� -
<br /> NUMBER OF DEVICES(if low voltage): NA
<br /> FIRE ALARM? D YES IX NO
<br /> ASSOCIATED BUILDING PERMIT#(If applicable): NA
<br /> DESCRIPTION OF WORK: F -GAY, thiSFR -14:1N-Lig,HI h I IP(;RA1 F:Al TFRIN(�(iRCI'ITS-I CM/FIRING L!)Ans
<br /> ` AMPUS GROUNDS$27580.00
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<br /> OWNER NAME: SNOHOMISH CO PROP MGMT TENANT NAME(If Commercial):
<br /> OWNER MAILING ADDRESS: STREET 3000 ROCKEELLER AVE M/S 404
<br /> CITY EVERETT STATE WA zip 98201
<br /> OWNER PHONE: OWNER EMAIL:
<br /> CONTRACTOR NAME: Seahurst Electric
<br /> CONTRACTOR ADDRESS: STREET 2915 Chestnut St
<br /> CITY Everett STATE WA zw 98201
<br /> CONTRACTOR PHONE: 425-258-1882 CONTRACTOR EMAIL: reception@seahurst.com
<br /> CONTRACTOR UC.#(REQUIRED): SEAHUE1099QN CITY OF EVERETT BUSINESS UC.#(REQUIRED): 18763
<br /> PRIMARY CONTACT: 0 OWNER IIg 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 read end eramined this application end 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 or the performance of construction. That lam 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 /> • PERMIT#
<br /> 2,0
<br /> Owne Au or4zed n '( natur •1 717 E 1'l \2,/
<br /> ! e Date (Revised 9/23/2016)
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