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425-259-2794 :28 p.m. 04-20-2017 2/2
<br /> 04"4"".. 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 ( (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 ❑SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: Cg COMMERCIAL
<br /> USE OF BUILDING: Commercial
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<br /> CONTRACT PRICE OF WORK:$ 18500.
<br /> NUMBER OF DEVICES(if low voltage):
<br /> FIRE ALARM? 0 YES IN NO
<br /> ASSOCIATED BUILDING PERMIT#(if applicable):
<br /> DESCRIPTION OF WORK: Relocate Ready Frame Equipment
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<br /> OWNER NAME: BMC/Contact: Jeff Dorn .., TENANT NAME(If Commercial):
<br /> OWNER MAILING ADDRESS: Jeffrey Dorn I Market LBM Manager
<br /> BMC 13200 35th Avenue NEI Everett,WA 198201
<br /> Office:425-303-0661 I Cell:425-463-5812 STATE ZIP
<br /> OWNER PHONE: 425-463-5812 !OWNER EMAIL: Jeffrey.Dorn a'@BuildWithBMC.com
<br /> CONTRACTOR NAME: Seahurst Electric
<br /> CONTRACTOR ADDRESS: BEET 2915 Chestnut St
<br /> wry Everett STATE WA ZIP 98201
<br /> CONTRACTOR PHONE: 425-258-1882 CONTRACTOR EMAIL: reception@seahurst.com
<br /> CONTRACTOR LIC.#(REQUIRED): SEAHUE1099QN CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 18763
<br /> PRIMARY CONTACT: ❑OWNER ®CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME: Kim Smith CONTACT PHONE: 425-258-1882
<br /> Brian Pyle - Project Manager 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 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 property to perform the work for which application is made and I
<br /> comply with the State Contractors Law 18.27 RCW and 296200 WAC.
<br /> City of Everett Official Use Only
<br /> PERMIT#
<br /> EflDL -1 \
<br /> O nar/Authors .Agent Signature Data (Revised 9/23/2016)
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