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PECTRICAL PERMIT APkICATION <br /> vi CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> \\� � � � - fia� �. .gym �..�•� r p \\ \z \��x �� �\\ �" <br /> �.d.-�s�Wa`sF,.�ate,: AW ... .'\ ., r� ....1 v ....::.. ._..€._,_ ..r.`A, i.�>_ . ... :'. ,.. ,,,. ,.._ .•.�. .w-.aa':'.. ., ....� .. �a.�m �� <br /> PROJECT ADDRESS: 9502 19th Ave SE, Everett, WA 98208 <br /> BUILDING AREA(if residential, new construction, remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ®COMMERCIAL <br /> USE OF BUILDING: Commercial Real Estate Office <br /> 1�`i�4\.•' 0# a a &.,,�,,,, N•R P 73'SY\: iA 4 <br /> CONTRACT PRICE OF WORK: $ $1,234.00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES ®NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Retrofit(2) Wallpacks and (2) Pole Mounted Light Fixtures from HID lamps to LED's <br /> CON TIN i RMAT1iDN h y yNiNtit <br /> OWNER NAME:Windermere Real Estate TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Service Electric Co., Inc. <br /> CONTRACTOR ADDRESS: STREET P.O. Box 1489 <br /> CITY Snohomish STATE WA ZIP 98291 <br /> CONTRACTOR PHONE: 360-568-6966#201 CONTRACTOR EMAIL: sharon@secoinc.com <br /> secoinc.com <br /> CONTRACTOR LIC.#(REQUIRED): SERVIEC564RU CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 029064 <br /> PRIMARY CONTACT: 0 OWNER 17l CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: office 360-568-6966#201/Field 425-508-2605 <br /> Office - Sharon Card/Field Andy Poat CONTACT EMAIL:sharon@secoinc.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 other state or <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 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 /> ^ / � <br /> PERMIT# <br /> 544044 G442_1 L_d 1 E ( 5.0, -® xQ <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />