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.477ELECTRICAL PERMIT APPLICATION <br /> • <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 [(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION.: <br /> PROJECT ADDRESS: 3 .r.. Eve e+t lrl ►•1 ..s <br /> BUILDING AREA(if residential,new cons ruction,remodel,or addition) S'P <br /> BUILDING TYPE: El SFR-DETACHED 0 SFR-ATTACHED C}DUPLEX 0 MULTI-FAMILY-#OF UNITS: 'COMMERCIAL <br /> USE OF BUILDING: Commercial <br /> E ECTR CAL APPLICATION INFORMATION • <br /> CONTRACT PRICE OF WOR . $ 2 LI 610 <br /> 1 <br /> NUMBER OF DEVICES(if low -e- <br /> FIRE ALARM? DYES ©NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> �.s�rw�►TT ��. <br /> DESCRIPTION OF WORK: �' .� : _�L�ygr�i;' �' _�.' ��� �'' s <br /> - <br /> CONTACT INFORMATION - _� �. • <br /> OWNER NAME: •TENANT NAME(If Commer '.I): -r �� <br /> OWNER MAILING ADDRESS: STREET 00 • 01 4 ,. , <br /> CITY Iv t: STATE RI ►' ZIP 1 <br /> OWNER PHONE:67t12,"" 2-9 1— �� ) OWNER EMAIL: <br /> CONTRACTOR NAME: Lin R Rogers Electrical Contractors Inc <br /> CONTRACTOR ADDRESS: STREET 2050 Marconi Drive, Ste 200 <br /> ow Alpharetta STATE GA ZIP 30005 <br /> • <br /> CONTRACTOR PHONE: 770-772,3472 CONTRACTOR EMAIL: License@LRogersElectric.com . <br /> CONTRACTOR LIC.#(REQUIRED): EC LINRRRR956B1 CITY OF EVERETT BUSINESS LIC.#(REQUIRE ): 051310 <br /> PRIMARY CONTACT: 0 OWNER El CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 770-772-:525 <br /> Amanda Lee CONTACT EMAIL:License@LRogersElectric.com <br /> AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and coned. 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 I am authorized by the owner of this property to perform the work for which application Is made and 1 • <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> .Z9ir E no( o�T <br /> oNle7nAuthoriie. .ent Signature Date • (Revised 9/23/2016) <br />