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ACTRICAL PERMIT APPOCATIQN <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 [ www.everettwa,gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 8407 Evergreen Way <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: 0 COMMERCIAL <br /> USE OF BUILDING: Coffee Shop <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 400 <br /> NUMBER OF DEVICES if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: Add (1) 4' section of track utilizing existing circuit <br /> I <br /> CONTACT INFORMATION <br /> OWNER NAME: Starbucks#14101 TENANT NAME If Commercial): <br /> OWNER MAILING ADDRESS: STREET 8407 Evergreen Way <br /> cin Everett STATE WA ziP 98208 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: SeaTac Electric <br /> CONTRACTOR ADDRESS: STREET 7056 So 220th St <br /> CITY Kent STATE WA ziP 98032 <br /> CONTRACTOR PHONE: 253-867-2356 CONTRACTOR EMAIL: dawn.lanz@Seatacelectric.com <br /> CONTRACTOR LIC.#(REQUIRED): SEATAE1077RW CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 033037 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR D OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 253-867-2356 <br /> Dawn Lanz CONTACT EMAIL:dawn,lanz@seatacelectric.com <br /> AGREEMENT:1 hereby certify that t 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 i am authorized by the owner of this property 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# <br /> Owner/Authorized Agent Slgnatur Date (Revised 9123/2016) <br />