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PLICATION TRICAL PERMIT <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: Toys R Us 1325A SE Everett Mall Way.Everett,WA <br /> BUILDING AREA(if residential, new construction, remodel,or addition) Alteration SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ® COMMERCIAL <br /> USE OF BUILDING: Retail <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 3415.00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES M NO <br /> ASSOCIATED BUILDING PERMIT# if applicable): None <br /> DESCRIPTION OF WORK: disconnecting power to the gondolas in the toy area/display area of the store,then we will return on a later date to <br /> reconnect power to those gondolas.. <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial): Toys R Us <br /> OWNER MAILING ADDRESS: STREET 1325A SE Everett Mall Way <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Lin R. Rogers Electrical Contractors, Inc. <br /> CONTRACTOR ADDRESS: STREET 2050 Marconi Drive,Ste 200 <br /> CITY Alpharetta STATE GA ZIP 30005 <br /> CONTRACTOR PHONE: 770-772-7921 ,? CONTRACTOR EMAIL: license@lrogerselectric.com <br /> CONTRACTOR LIC.#(REQUIRED): >` tvk. rug CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 050 Jiul <br /> PRIMARY CONTACT: ❑ OWNER ® CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 770-772-7921 <br /> Ashley Walls CONTACT EMAIL: license@lrogerselectric.com <br /> AGREEMENT. T hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this <br /> type 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 1 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 /> FEE <br /> ' lq� 95 <br /> PERMIT# <br /> E i6016-0 <br /> Owner/Authorized Agent Signature Date (Revised 1 0/1 212 0 1 5) <br />