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� i <br /> ELECTRICAL PERM�T APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEF2ETT, WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits <br /> � � PROJECT S�TE 1NFf3�MAT10N � �� <br /> PRo�ECTaooREss: 4128 RUCker Avenue <br /> BUILDING AREA(if residential, new cons!ruction, remodel,or addition)n�a SF <br /> BUILDING TYPE: ❑ SFR-DETACHED � SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> usE oF Bui�oiNc: Retail Fuel Sales <br /> � '�� ELEGTRIGAL,APPL,��,AT'��N INFORMA't`�DN �� <br /> CONTRACT PR�CE OF WORK: $ ,,.��,,�" '�`� . J <br /> NUMBER OF DEVICES if low voft� c : �' ,�,��+^'.�L.A.�.3 p,,�.i ""�'�`� ��` <br /> ` <br /> FIRE ALARM? ❑YES 0 NO iJ �` r� j�u�.G-- <br /> ASSOCIATED BUILDING PERMIT# if a licable}: n/a <br /> �EscR�PT�otv oF woRK: Replace (16) existing digital gas price signs on two py{ons, <br /> (one on Rucker, one on 41 st) with (16) new digital gas price signs, like for like instal(ation, <br /> ooked to existing power, sign circuits by others. <br /> CONTACT INFORMATION <br /> OWNER NAME:S8f@Wa TENANT NAME(If Commercial): S2f@Way <br /> OWNER MAILING ADDRESS: sTHEeT 4128 Rucker Avenue <br /> �,TM Everett ST,,TF WA „P 98201 <br /> C7WNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: PIU171b SI(�'nS <br /> CONTRACTOR ADDRESS: s1�EE�909 S 28th St <br /> �,TY Tacoma ST�TE WA ,�P 98409 <br /> coNrRACTOR PHONE: 253-473-3323 CONTRACTOR EMAIL: COClill@@pIUf7lbSlgflS.COCII <br /> CONTRACTOR LIC.#(t�ousnEa�. PLUMBS1077QS CITY OF EVERETT BUSINESS LIC.#(REQUIRED): �!�}'' 3` <br /> ?RIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Spec!fy) <br /> CONTACT NAME: CONTACT PHONE: 2rj3-473-3323X�rj <br /> Connie Guffey cor,rACT ennAi�:cannie@plumbsigns.com <br /> AGHEEMF_NT:/hereby certify lhat 1 have read and examined this application and know the same to be true and correcf, A(1 provisions of/aws and ordinances governing fhis type <br /> nf work will be completed whether sper.ified herein or noL The granfing n/a permit doos nol presume to give authority to violafe or cancel the provisions ol any other stafe or <br /> loca!!aw regulafing construction or the perfom�ance o(construction, That f am aufhorized by Ihe owne�of this property to perform fhe work for which application is made and l <br /> r,omply wifh the Slafe Contraclnrs Law 1 H,27 RCW and 196 200 W/�C <br /> City ol Evc:retl O�f�cial Use Only <br /> PERMIT# <br /> G� ,r' "-,,� � �,, E � ��`J�' 7��/ <br /> Owner/Authorized Agei ry�u att>. � (Revised 5/23/201Fi) <br />