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425-259-2794 —1:00 a.m. 06-16-2017 2/2
<br /> ELECTRICAL PERMIT APPLICATION
<br /> 4..77.
<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 1 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: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: Iii COMMERCIAL
<br /> USE OF BUILDING: commercial
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<br /> CONTRACT PRICE OF WORK: $ 1500.
<br /> NUMBER OF DEVICES(if low voltage):
<br /> FIRE ALARM? D YES lid NO
<br /> ASSOCIATED BUILDING PERMIT#(if applicable): na
<br /> DESCRIPTION OF WORK:
<br /> ADD/ALTER 20A CIRCUIT&RELOCATE/EXTEND EXISTING CIRCUIT FOR NETWORK IN DISPATCH OFFICE
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<br /> OWNER NAME: BMC` / JEFF
<br /> DORN -MNG TENANT NAME(If Commercial):
<br /> OWNER MAILING ADDR 1 sneer
<br /> CITY STATE ZIP
<br /> OWNER PHONE: 425463-5812 TOWNER EMAIL: Jeffrey.Dorn@BuiidWithBMC.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: reception@seahurst.com
<br /> CONTRACTOR UC.#(REQUIRED: SEAHUE1099QN CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 18763
<br /> PRIMARY CONTACT: 0 OWNER ®CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME: Kim Smith CONTACT PHONE: 425-258-1882
<br /> Brian Pyle-PM CONTACT EMAIL: reception@seahurst.com
<br /> AGREEMENT:I hereby certify that I have read end 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 noL 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 19.27 RCW and 296.200 WAC.
<br /> City of Everett Official Use Only
<br /> PERMIT#
<br /> Ane ,/ Hitot (a-/(0—/7 E \O( — l2_(.0
<br /> 0 uthori ed gent Signature Date (Revised 9/23/2016)
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