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0 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: 11102 Evergreen Way Everett, WA 98024 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 1XCOMMERCIAL <br /> USE OF BUILDING: Columbia Bank <br /> ELECTRICAL. APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 4,500 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES ❑NO <br /> ASSOCIIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 3 Exterior LED's <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial): Columbia Bank <br /> OWNER MAILING ADDRESS: STREET 11102 Evergreen Way, Everett, WA 98024 <br /> CITY STATE ZIP <br /> OWNER PHONE: (425) 740-3060 OWNER EMAIL: <br /> CONTRACTOR NAME: Lumenal Lighting LLC <br /> CONTRACTOR ADDRESS: STREET 21706 66th Ave West Mountlake Terrace WA 98043 <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: 425-481-5001 CONTRACTOR EMAIL: Service@Lumenal.com <br /> CONTRACTOR LIC.#(REQUIRED): LUMENLL864LW CITY OF EVERETT BUSINESS LIC.#(REQUIRED):#052486 <br /> PRIMARY CONTACT: ❑OWNER IR CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-481-5001 <br /> DeWayne Simpson CONTACT EMAIL: ServlCe@LUmenal.Com <br /> AGREEMENT.T hereby certify that 1 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 I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> PERMIT# <br /> 6-28-2017 E <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />