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r V.;!-4 <br /> � •ECTRICAL PERMIT AF i LICATION <br /> CITY OF EVERL I I PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps c@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: -105524 19th Ave SE <br /> BUILDING AREA(int residentiai, new constructor%remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Bank and Office Building <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ $4200 <br /> NUMBER OF DEVICES(if low vgttage): <br /> FIRE ALARM? 0 YES I I NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: / Converting 15 320Watt MH parking lot pole lights to direct wired 60Watt LED-HID with quick-disconnect. <br /> This is a lighting project though the SnoPUD. Only the lamps are being changed out. No new fixtures <br /> CONTACT INFORMATION <br /> OWNER NAME: Rod Keppler TENANT NAME(If Commercial): Cascade Plaza <br /> OWNER MAILING ADDRESS: STREET 3719 108th SE <br /> CRY Everettz- .7WA :f 98208 <br /> OWNER PHONE: 425-337-0325 OWNER EMAIL: Rodkeppler@comcast.net <br /> CONTRACTOR NAME: Brite Solutions Lighting LLC <br /> CONTRACTOR ADDRESS: STREET 2831 Cottonwood Ave <br /> CITY Bellingham sT TE WA 9 ---\ <br /> CONTRACTOR PHONE: 360-734-3256 CONTRACTOR EMAIL: bntesolutions comcast.net <br /> CONTRACTOR LIC.#(REQUIREDi: BRITESL900R3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 055504 <br /> PRIMARY CONTACT: 0 OWNER VI CONTRACTOR ❑OTHER(Please Specify) r 7 <br /> G <br /> CONTACT NAME: CONTACT PHONE: 360-305-2483 <br /> Rod VVyandt CONTACT EMAIL: britesolutions@comcast.net <br /> AGREEMENT I taerey certify that I have read and examined this application and know the same to tie true and cda race All provisions of Jams and ordinances governing this type <br /> of wank wik on cocrip eted whether specified herein or not. The granting of a permit does not presume in give artt ority 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 oaser of ails property to perform the v anrk 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 Ofhciai Use Only <br /> PERMIT# <br /> 5/15/2017 E q-CS--4 r2-LC <br /> Owner/Authorized gent Signature Date (Revised 92312616) <br />