3909 RUCKER AVE EVERETT CLINIC PARKING 2019-04-30

'IP ELECTRICAL PERMIT APPLICATION viiiiCITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857I (E)everetteps@everettwa.gov I www.everettwa.gov/permits A04:0104:7, PROJECT ADDRESS: 3909 Rucker Ave BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ffi COMMERCIAL USE OF BUILDING:Commercial n• g._ 111P.E1r.EOT A0:4**Mr0,00 10.0 Pie iu, ll rc CONTRACT PRICE OF WORK:$ 6000.00 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES El NO ASSOCIATED BUILDING PERMIT#(if applicable): na DESCRIPTION OF WORK: Energy conservation retrofit parking garage lighting E _.F._ „ rr 7: , GONTA:T i1$FORIf4 ' , .. ». ,„. OWNER NAME: Everett Clinic TENANT NAME(If Commercial): Gunderson Building OWNER MAILING ADDRESS: STREET CRY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: SEAHURST ELECTRIC INC. CONTRACTOR ADDRESS: STREET 2915 CHESTNUT ST cIN EVERETT STATE WA ZIP 98201 CONTRACTOR PHONE:425-258-1882 _CONTRACTOR EMAIL: reception@Seahurst.com CONTRACTOR LIC.#(REQUIRED): 56/1 14U .wig Q i4 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):J8 j r�6 PRIMARY CONTACT: 0 OWNER KJ CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: K.(WI g mf CONTACT PHONE:y 5-, A50.4 gra CONTACT EMAIL: reception@seahurst.com AGREEMENT:I hereby certify that I 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 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 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only t PERMIT# E VZ.0g -(Lkt{ Owner •uthorized40 t Signature Date (Revised 9/23/2016)