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fit <br /> ELECTRICAL PERMIT APPLICATION <br /> I�►' �-, 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 <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 510 W Casino Rd (Suite D), Everett WA 98204 Parcel#28041300200500 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ®COMMERCIAL <br /> USE OF BUILDING: Mobil Gas Station &Food Mart <br /> ELEC RICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK $ 1,000.00 <br /> NUMBER OF DEVICES(if low 'Rage):N1 " @ 60w 15v LED Drivers EN811132 @ 60w 12v LED Drivers <br /> FIRE ALARM? ❑YES ■ NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: <br /> ®Wire new LED gas price faces to existing electrical circuit: <br /> ®&® Wire 2 new 1'-10"x6'-1" LED illuminated Mobil canopy signs to existing electrical: <br /> CONTACT INFORMATION <br /> OWNER NAME: DKJ Investments 11 LLC TENANT NAME(If Commercial): DKJ Food Mart Mobil <br /> OWNER MAILING ADDRESS: STREET 2115 116th St NE <br /> cay Marysville STATE WA ZIP 98271 <br /> OWNER PHONE: Brian Kooy(425)220-1009 OWNER EMAIL: brian.deltafuel@gmail.com <br /> CONTRACTOR NAME: Insignia Sign Inc. <br /> CONTRACTOR ADDRESS: STREET PO BOX 2849 <br /> CITY Renton STATE WA ZIP 98056 <br /> CONTRACTOR PHONE: (425)917-2109 CONTRACTOR EMAIL: Steven@insigniasign.com <br /> CONTRACTOR LIC.#(REQUIRED): INSIGSI055JS CITY OF EVERETT BUSINESS LIC.#(REQUIRED):038029 <br /> PRIMARY CONTACT: 0 OWNER ®CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: (425)917-2109 <br /> Steven Thomson @ Insignia Sign Inc. CONTACT EMAIL: steven@insigniasign.com <br /> AGREEMENT::1 hereby certify that!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 properly to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# r,, <br /> SIulr� T.4om o#i (Contractor&Agent) 03/29/19 E �RO `"�( <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />