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�CTRICAL PERMIT APP�CATI4N <br /> CITY OF EVERETT PERMI7 SERVlCES <br /> 32Q0 GEDAR STREET, EV�RETT, WA 9$201 <br /> (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everettwa.gov� www.everettwa.gQv/permits I <br /> . .. , <br /> :.. ...... .:... :.. .... .. ::... _... . .:,. ..:�: .: .. ,:..:..:.......-.:....... . . � <br /> . <br /> � ,. ;. PROJECT,:.SIT��:IN.FORMATI.ON -„,�,<'... . . . <br /> PftOJECT ADDRESS: 2�1� Broaclway Ave � <br /> Bt11LDING AREA{I#residential,new construction,remodel,or addition) SF ; <br /> BUILDIlVG TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMI�Y-#O�UNlT5: 0 COMMERCIAL � <br /> USE OF BUILDING: Grocery Star � <br /> .. ... ...:... : ....:... ... . ...: ... .�,............. :...:..........: ;:...: <br /> . .. .... .. . .... ......... : <br /> 1:°_. :': : . : . ;,... ..: : ; ;`;`.';..'_EL�, T�tICAL APPLICATlON INFORMATIbN.°,: ,.;':, ': ,,_ ` `..` <br /> CONTRACT PRICE OF WO ; $ 844 <br /> NUMBER OF DEVICES if lo voltage : � <br /> FIR�ALARM7 ❑YES NO � <br /> ASSOCIATED BUILDING PERMI7# if a Iicable : ' <br /> DESCRIPTION OF WORK: (1) 120V,20A circuit far liquor case ligh#s � <br /> � <br /> � <br /> f <br /> E <br /> 1 <br /> '..':":': '..'.: . . <br /> ... <br /> � <br /> ,.: : '� . . ....: . .... . : ..�,.: . � ' _ <br /> '�.'�'.:�'�O � i <br /> ' ..:. :.... . �..: ' . � `' . '. <br /> . .. NTACT:INFO.RMATI.ON .: . ,:., ;: " .. .: :. : <br /> �..�:.: ., <br /> . ;; ... . .. . <br /> :. <br /> OWNER NAME: TENANT NAME If Commereia[ : QFC � <br /> OWNER MAiLING ADDRE5S: STREET 2615 Broadway Ave ! <br /> ciTr �verett STATE WA ziP 98201 � <br /> OWNER PHONE: OWNER EMAIL: � <br /> i <br /> CONTRACTOR NAME: SeaTac Electric, Inc. ' <br /> i <br /> � <br /> CONTRACTOR ADDRESS; smEEr 7a56 SO 220th St f <br /> �i�,. Kent STATE WA ZIP' � <br /> CONTRACTOR PHONE: 253-872-5553 CONTRACTOR EMAIL: dawn.lanz@seatacelectric.com f <br /> CONTRACTOR LIC.#(REQUIRE�): S�ATAE1077RW CITY OF EVERETT BUSINESS LIC.#(REQUI eb): a33037 I <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 253-$72-5553 <br /> D�WCI Lat1Z CONTACT EMAIL:�lawn.lanz@seatacelectric.com � <br /> � <br /> AGREEMENT.'1 hereby certi(y that 1 have read and examined thts epplicatron and know tha same to be true and correct. A!!provisions oflaws end ordinances goveming thls type I <br /> of work wlll be complefed whefher specified hereln or nof. The granfing of a permft doas nof presume to grve authorliy fo vlolate ar cancel the pravlslons of any other state or <br /> loca!!aw regulafing cor+sbuction or the parformance of consbuctlon. That!am authorized by the owner of thls property to perfarm the wo►k for whlch application is made and 1 j <br /> comply wlth the State Corttractas taw i8.27 RCW and 286.200 WAC. j <br /> i <br /> � <br /> � <br /> 7. <br /> ! <br /> City af Everett Of�lclat Use Onty <br /> PER�tIIT# � <br /> �r <br /> �(JG�-�/�t: � � [Z �� �' E C� -- C C <br /> QwnertAuthorized Agent Slg ature Date (Revised 8/23/2016) <br />