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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,INA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 1 (E) everetteps@everettwa.gov l www.everettwa.gov/permits <br /> PROJECT SITE INFORMATIONAl <br /> PROJECT ADDRESS: 6500 MERRILL CREEK PARKWAY <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> uSE OF BUILDING: WAREHOUSE <br /> tEC RICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $/8946 <br /> NUMBER OF DEVICES (if low vol ge): <br /> FIRE ALARM? ❑YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: RETROFIT (16) LIGHTS TO LED <br /> CONTACT INFORMATION <br /> OWNER NAME: WREH 6500 EVERETT LLC TENANT NAME(if Commercial): AVTECH-TYEE <br /> OWNER MAILING ADDRESS: STREET 249 SW 41ST STr�o <br /> c,r RENTON STATE WA zip 98057 <br /> OWNER PHONE: 206-730-3826 OWNER EMAIL: <br /> CONTRACTOR NAME: CAPITAL LIGHTING COMPANY INC <br /> CONTRACTOR ADDRESS: STREET 287 SW 41 ST ST <br /> crrr RENTON STATE WA zip 9805 ._ <br /> CONTRACTOR PHONE: 425-251-0244 CONTRACTOR EMAIL: nancyhall@capitallightingwa_co <br /> CONTRACTOR LIC.#(REQUIRED): CAPITLC866RSCITY OF EVERETT BUSINESS LIC.#(REQUIRED). 025837 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425_251-0244 <br /> Nancy M Hall, Controller CONTACT EMAIL'nanryhall@capitallightingwa.com <br /> capitallightingwa.com <br /> AGREEMENT.,i 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 l 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 296200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> E <br /> Owner/AU orizedAgent Signature Date (Revised 9123/2016} <br />