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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 www.everettwa.gov/permits <br /> PROJECT ADDRESS: 3200 35th Ave NE <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: commercial <br /> l <br /> CONTRACT PRICE OF WORK: 2000.00 <br /> NUMBER OF DEVICES if low v B <br /> FIRE ALARM? 0 YES O <br /> ASSOCIATED BUILDING PERMIT# if a••licable : <br /> DESCRIPTION OF WORK: INSTALL(1) LUMARK 85W FLOOD LIGHT IN NEW LOCATION, (3) LITHONIA CDS, <br /> LED STRIP LIGHTS IN HARDWARE ROOM AND(2) LITHONIA IBZ 454 HI-BAY FIXTURES <br /> **PLEASE ADD TO EXISTING PERMIT E1704-151** <br /> erd <br /> szrs ��F �`�" .^'.v^"..°`ti`�,� <br /> OWNER NAME: BMC/Jeff Dorn TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: 425463-5812 OWNER EMAIL: Jeffery.Dorn@BuildWithBMC.com <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: - • • •r I • ' --' <br /> CONTRACTOR LIC.#(REQUIRED): SEAHUE1099QN CITY OF EVERETT BUSINESS LIC.#(REQUI- D): 18763 <br /> PRIMARY CONTACT: 0 OWNER X CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: Kim Smith CONTACT PHONE: 425-258-1882 <br /> Brian Pyle - Project Mng CONTACT EMAIL: reception@seahurst.com <br /> AGREEMENT.:I hereby certify that/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 lam authorized by the owner of this properly 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 /> � <br /> , PERMIT# <br /> t// <br /> / rf/ / /(/ 7-1047 E <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />