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425-259-2794 C 43 p.m. 09-27-2017 2/2
<br /> /Iiii,V7:":4ELECTRICAL 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: 0 SFR-DETACHED 0 SFR-ATTACHED in DUPLEX 0 MULTI-FAMILY-#OF UNITS: gi COMMERCIAL
<br /> USE OF BUILDING: COMMERCIAL
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<br /> CONTRACT PRICE OF WORK: $ 5200.00
<br /> NUMBER OF DEVICES(if low vol ge): NA
<br /> FIRE ALARM? 0 YES I&NO
<br /> ASSOCIATED BUILDING PERMIT# licabie): NA r •
<br /> DESCRIPTION OF WORK: PROVIDE &INSTALL POWER& LIGHTING TO RELOCATED GANTRY
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<br /> OWNER.NAME: BMC EAST LLC TENANT NAME(If Commercial):
<br /> OWNER MAILING ADDRESS: STREET 8020 ARCO CORPORATE DR SUITE 4
<br /> CITY RALEIGH STATE NC ZIP 27617
<br /> OWNER PHONE: OWNER EMAIL:
<br /> CONTRACTOR NAME: Seahurst Electric
<br /> CONTRACTOR ADDRESS: STREET 2915 Chestnut St
<br /> CITY Everett STATE WA zm 9820
<br /> CONTRACTOR PHONE: 425-258-1882 CONTRACTOR EMAIL: reception@seahurst.com
<br /> CONTRACTOR UC.#(REQUIRED): SEAHUE1099QN CITY OF EVERETT BUSINESS UC.#(REQUIRE.{ 18763
<br /> PRIMARY CONTACT: 0 OWNER ®CONTRACTOR ❑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: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 typo
<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 property to perform the work for which application is made and/
<br /> comply with the State Contractors Law 18.27 ROW and 296.200 WAC.
<br /> •
<br /> City of Everett Official Use Only
<br /> ‘ c ‘. )
<br /> PERMIT# '
<br /> 7-17-17 E - 2 (
<br /> Owner/Aut orized Ag=nature Date (Revised 9/23/2016)
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