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ELE��TRICAL �'ERfVIIT APPLICAT00N <br /> f;ITY OF EVERETT RERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-$857—www.everettwa.org <br /> S -- 13 -/.� <br /> C lsd�.-��`I <br /> 1130 SE Everetl Malt Way,STE A Everett,WA 98208 <br /> PROJFCT ADDRESS <br /> BEST BUY LP#566 PO BOX 802206 DALLAS TEXAS 98208 <br /> OwnOf Mail Ado.^ss C�ry Stale/Zip Phone <br /> 9EST BUY LP#566 1130 SE EVERETT MALL WAY STE A EVERETT WASHINGTON 98208 (425)355-9450 <br /> TenBnt Mail Atldress Ciry State2iD Phonv. <br /> LIN R ROGERS ELECTRICAL 2050 MARCONI DRIVE STE 200 ALPHARE7TA GEORGIA 30005 (770)772-3400 <br /> ElecUical Contraqor Mail Adaress C�ry Staie2ip Phone <br /> EC LINRRRR956B7 051310 <br /> State License Number(required) Ciry ot Everett Business Li-:ense Number(required; <br /> 31500.OD <br /> Proposed Use of Building Contrad Price of Work <br /> Enq McLendon-lice��se@Irogerselednacom 77a772- 87 <br /> Square Footage Qf residential new consiruction,remodel or addition) Contact Person.'Co��tact NumbedEmail <br /> Number o(devices(If low vollage) <br /> Description of Work to Be Done� Besl Buy Home theater transformation projed- }loating fixture move and carpet work for reset of <br /> home theater area.disconnecUreconnect, install Dower-altennq up to 5 circuits. <br /> FEE <br /> CITY OP EVERETT LOCAL SALES TAX CODE IS J105 <br /> �� .�� <br /> 1 hereby certi(y that!have reyd end ezamined this application antl know the samo to be troe and <br /> correct. All provisions ollaws and ordinences goveming this rype o(work will be completed <br /> whether spec�ed he2in o�not The granfing ol a permit doos not prosume to give aufhonty lo PERMIT# <br /> vio/ete o�cancel the provisions o/any o(her sfofe or/ocal law regulafing construction or the r <br /> peAormance olconsWction. Thaf 1 am aufhonzed by(he owner o/fhis property fo peAorm Ihe E 4�b�J �O�� <br /> woAr for which epphcafion is made and I comply with the State Con�actors Law 78.27 RCW and <br /> 296200 W C. <br /> , �_ 5 i-�o s <br /> ignature � Date <br /> RfVISEO GSPB�N t1 <br />