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0 0 <br />(P) 425-257-8810 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 88201 <br />FAX 425-257-8857 { (E) everetteps@everettwa.gov { www.everettwa.gov/permits <br />PROJECT SITE'INQftMATiCN"; <br />PROJECT ADDRESS:222-02 <br />BUILDING AREA if residential, new or addltion) SF <br />BUILDING TYPE: ©SFR-DETACHED 13 8FR-ATTACHED 0 DUPLEX © MULTI -FAMILY -# OF UNITS: 0 COMMERCIAL <br />USE OF BUILDING: Commercial <br />ELECTRICAL APPLICATIO0.INIFQRMATION <br />CONTRACT PRICE OF WORK: $ <br />NUMBER OF DEVICES if to . voltage); <br />FIRE ALARM? DYES 0 NO <br />ASSOCIATED BUILDING PERMIT # if a lrcable <br />DESCRIPTION OF WORK: �l <br />.COI+1)TACT INFORMATIQN <br />OWNER NAME: -TENANT NAME If Commercial): <br />OWNER MAILING ADDRESS: STREET <br />CITY Vi STATE f 1 ZIP G f <br />Qg-15?OWN>=fit <br />OWNER PHONE: - QC j ^ 9 7j <br />EMAIL; <br />CONTRACTOR NAME: Lin R Rogers Electricai Contractors Inc <br />CONTRACTOR ADDRESS: gTRasT2050 Marconi Drive, Ste 200 <br />CITY Alpharetta sTATr. GA 01 30005 <br />CONTRACTOR PHONE: 770-772.3472 <br />CONTRACTOR EMAIL: License@LRogersElectric.com <br />CONTRACTOR LIC. #(REQUIRED : EC LINRRRR956B1 <br />ICITY OF EVE RET.T BUSINESS LIP. #(REQUIRED): 051310 <br />PRIMARY CONTACT: © OWNER Iz CONTRACTOR i] OTHER (Please Specify) <br />CONTACT NAME: <br />-A <br />CONTACT PHONE: 770_772_;,S <br />CONTACT EMAIL: License@LR292rsElectric.com <br />AGREEMENT.' t hereby certify that i have read and examined this appltcatlon and know the same to be true and correct. All provtslons of laws and ordinances governing this type <br />of work will be completed whether specltled herein or not. The granting of a permit does not presume to give authority to vtofate orcencel the provisions of any other state or <br />tocallaw regulating construction or the performance of construction. That tam authorized by the owner of this property to padarm the work far which application is made and I <br />comply with the State Contractors taw 18.27 RCW and 296.200 WAG <br />City of Everett Offlcfai Use Only <br />PERMIT* <br />l E � ti - M-- <br />J (Revfsedgl=018) <br />