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425-259-2794 193:03 T. 10-10-2017 2/2
<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.gov/permits
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<br /> PROJECT ADDRESS: 3200 35TH AVE NE
<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: IX COMMERCIAL
<br /> USE OF BUILDING: COMMERCIAL
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<br /> CONTRACT PRICE OF WORK:$ 800.00
<br /> NUMBER OF DEVICES(if low voltage): NA
<br /> FIRE ALARM? 0 YES IN NO
<br /> ASSOCIATED BUILDING PERMIT#(if applicable):NA
<br /> DESCRIPTION OF WORK: INSTALL SWITCHES&RECEPTACLES AS DIRECTED FOR SMALL OFFICE
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<br /> OWNER NAME: BMC EAST LLC TENANT NAME(If Commercial): BMC
<br /> OWNER MAIUNG ADDRESS: STREET 8020 ARCO CORPORATE DR SUITE 4
<br /> cry RALEIGH STATE NC ZIP 27617
<br /> OWNER PHONE: OWNER EMAIL:
<br /> •
<br /> CONTRACTOR NAME: Seahurst Electric
<br /> CONTRACTOR ADDRESS: STREET 2915 Chestnut St
<br /> CITY 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 DI CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME: Kim Smith CONTACT PHONE: 425-258-1882
<br /> PM- BRIAN PYLE 425-760-1470 CONTACT EMAIL: reception@seahurst.com
<br /> AGREEMENT:t hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws end 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 slate or
<br /> local law regulating construction or 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 and 296.200 WAC.
<br /> City of Everett Official Use Only
<br /> • 11 ¢ PERMIT#
<br /> 4:/// ,. . 7/t 61.1eZ. /0 -/ . 1 EfI0 - 0 12
<br /> O4mer/AuthoriiedAd'ent Signature Date (Revised 9/23/2016)
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