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RECTRICAL PERMIT AP ACATION <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: 10117-A Evergreen Way, Everett, WA. 98204 <br /> BUILDING AREA(if residential,new construction,remodel,or addition)1,678 SF <br /> BUILDING TYPE: CISFR-DETACHED EISFR-ATTACHED DDUPLEX 171 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Take & Bake pizza store. <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 1,248.00 <br /> NUMBER OF DEVICES(if low voltage): 20 <br /> FIRE ALARM? El YES Z NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Install (20)cat.5E 8 conductor cables for voice & data, & terminate. <br /> CONTACT INFORMATION <br /> OWNER NAME:Jeremy Lovelace TENANT NAME(if Commercial): Papa Murphy's Pizza <br /> OWNER MAILING ADDRESS: 1111T 2801 N.W. 155th. St_ <br /> CITyVancouver STA,FWA- zip 98685 <br /> OWNER PHONE: (360) 798-6172 1OWNER EMAIL:jeremy@nwpremier-com <br /> CONTRACTOR NAME: TRI-NAR, INC <br /> CONTRACTOR ADDRESS: STREET PO BOX 1661 <br /> cir Woodinville STATE WA. zr 98072 <br /> CONTRACTOR PHONE. 425-402-0408 1CONTRACTOR EMAIL: joe@tri-nar.com <br /> CONTRACTOR LIC,kREQUIRED): TRINAI*132KH ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): 050125 <br /> PRIMARY CONTACT. 0 OWNER 0 CONTRACTOR C3 OTHER(Please Specify) <br /> CONTACT NAME. CONTACT PHONE: 206-387-0080 <br /> IJOE CATH CONTACT EMAIL:joe@tri-nar-com <br /> AGREEMENT.-I 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 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 o1herstate at <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 appiication 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 /> 6/12/2017 E <br /> A <br /> Z <br /> 0 rfAuthorized Agent Signature Date (Revised 912312016) <br />