1130 SE EVERETT MALL WAY BEST BUY 2020-01-21

04rerr PLECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 J (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: Best Buy 566: 1130 SE Everett Mall Way, Everett, WA 98208 BUILDING AREA(if residential,new construction,remodel,or addition)100 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ®COMMERCIAL USE OF BUILDING: Commercial ECTR AL APPLICATION INFORMATION. CONTRACT PRICE OF WORK: 500.00 NUMBER OF DEVICES(if low oltage): FIRE ALARM? 0 YES O ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK; Altering 6 circuits; reconfiguring Cell Phone department of best buy ; utilizing existing circuits CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Lin R Rogers Electrical Contractors Inc CONTRACTOR ADDRESS: STREET 2050 Marconi Drive, Ste 200 c,,,r Alpharetta STATE GA ZIP 30005 CONTRACTOR PHONE: 770-772-3472 CONTRACTOR EMAIL: License@LRogersElectric.com CONTRACTOR LIC.#(REQUIRED): EC LINRRRR956B1 CITY OF EVERETT BUSINESS LIC.#(REQU ED): 051310 PRIMARY CONTACT: 0 OWNER ®CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 770-772-3429 Stephanie Kush CONTACT EMAIL: License@LRogersElectric.com 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 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 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 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT .03-0 E d - a33 Owner/Authorized Agent Signature Date (Revised 9/23/2016)