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0 • <br /> ELECTRICAL PERMIT APPLICATION <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: 206 E Casino Rd <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED ❑SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ®COMMERCIAL <br /> USE OF BUILDING: Retail <br /> ELECTRICAL APPLICATION INFORMATION''' <br /> CONTRACT PRICE OF WORK:$ 1500.00 <br /> NUMBER OF DEVICES if low voltage): <br /> FIRE ALARM? ❑YES 0 NO <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: Add exterior security lights <br /> CONTACT INFORMATION <br /> OWNER NAME.Tien Ha TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET Ptd BOX 131 <br /> CITY Everett STATE WA ZIP 98206 <br /> OWNER PHONE: OWNER EMAIL: rrprops@yahoo.COm <br /> CONTRACTOR E: Owner <br /> CONTRACTO ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTO CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED): LhLLCITY OF EVERETT BUSINESS LIC.#(REQ <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR 14 OTHER(Please Specify) Prope[ty Manager <br /> CONTACT NAME: CONTACT PHONE. 206-353-1292 <br /> Ric Trujillo CONTACT EMAIL:rrprops@yahoo.Com <br /> AGREEMENT.1 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 granfing 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!am authorized by the owner of this property to ped imm the work for which application is made and/ <br /> comply with the State Contractors Law 18.27 RCW and 295.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT#I u <br /> /2 E P c Z r !d <br /> OwnerlAuthorizedent Sig ature Rate (Revised 912312018) <br />