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5700 23RD DR W 2019-06-12
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5700 23RD DR W 2019-06-12
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6/12/2019 8:35:08 AM
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6/12/2019 8:35:00 AM
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Address Document
Street Name
23RD DR W
Street Number
5700
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01/7- E :CTRICAL PERMIT APISICATION <br /> 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 <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 5700 23rd Dr W, Everett, WA 98203 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) 1,235 SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Christian Academy/School <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 2,000.00 <br /> NUMBER OF DEVICES (if low voltage): 4 <br /> FIRE ALARM? IBJ YES ❑ NO • <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Add Two new strobes to new restrooms, and add Two Door Holders to hallway double doors. <br /> CONTACT INFORMATION <br /> OWNER NAME: Northshore Christian Academy TENANT NAME(If Commercial): Northshore Christian Academy <br /> OWNER MAILING ADDRESS: STREET 5700 23rd Dr W, <br /> c Everett STATE WA ZIP 98119 <br /> OWNER PHONE: (425) 322-2301 OWNER EMAIL: <br /> CONTRACTOR NAME: SeaCOm <br /> CONTRACTOR ADDRESS: STREET 3041 Hoyt Ave <br /> cin Everett STATE Wa zip 98203 <br /> CONTRACTOR PHONE: 425-317-8259 CONTRACTOR EMAIL: Kolsen@Callseacom.com <br /> CONTRACTOR LIC.#(REQUIRED): SEACOCI944DO CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 053655 <br /> PRIMARY CONTACT: El OWNER 0 CONTRACTOR El OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-317-8259 <br /> Ken Olsen CONTACT EMAIL: Kolsen@Callseacom.com <br /> 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 <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 I 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 and 296.200 WAC. <br /> City of Everett Official Use Only <br /> --7 PERMIT# <br /> E 3O <br /> OiynerlAuthorized Agent Signature Date (Revised 9/23/2016) <br />
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