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0/12/2015 13:27 T0:14252578857 FROM:4252724272 <br />Page: 3 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />320� CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />1420 75th Street SW <br />PROJECT ADDRESS <br />Flu ke Corp <br />Owner <br />same as above <br />Tenant <br />6920 Seaway Blvd Everett wA, 98203 <br />Mail Address <br />Mail Address <br />City <br />City <br />State/Zip <br />State/Zip <br />Phone <br />Phone <br />Lumenal Lighting LLC 21706 66th Avenue West Mountlake Terrace WA, 98043 425-481-5001 <br />Electrical Contractor Mail Address <br />LUMENLL864LW <br />State License Number <br />COMMERCIAL <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />City State/Zip Phone <br />3,355.00 <br />Contract Price of Work <br />Junior Segura <br />Contact Person (Plan Review) <br />DescriptionofWorktoBeDone: '`ep�aC�ng Wal� NaCkS W�lh LE� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that l have read and examined this application and know the same to be true and <br />correcf. All provisions of laws and ordinances goveming this type of work will be completed <br />whether specified herein or i1ot. The granfing of a permit does not presume to give authority to <br />violate or cancel the provisions of any other stafe or local law regulating construction or the <br />performance of construction. That I am authorized by the owner of this property to perform the <br />worfc for which applicafion is made and I comply with the Sfate Contractors Law 18.27 RCW and <br />296.200 WAC. <br />�unior segura 6/12/2015 <br />Signature Date <br />HEVISED 3/20/13 <br />FEE <br />I��iS <br />PERMIT# <br />E I��C�� C��� <br />