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� i <br /> � f <br /> , <br /> � <br /> ELECTRICAL P'ERMIT APPLICATION : <br /> � <br /> r <br /> CITY OF EVERETT PERMIT SERVICES ' <br /> 3200 CEDAR S7REET, EVERETT,WA 98201 <br /> (P}425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.govlpermits : <br /> PROJECT ADDRESS: Starbucks 3319: 2823 Colby Avenue,Everett,Washington 98201 . <br /> BUILDING AREA(if residentlai,new construction,remodel,or addiHon) SF <br /> BUILDIIdG TYPE: ❑SFR-DETACHED ❑SFR-ATTAGHED .CI DUPLEX ❑MULTI-FAMILY-#OF UNITS: m COMMERCIAL <br /> USE OF BUILDING; Commercial <br /> �-• <br /> CONTRACT PRICE OF WORK:$ 1530.00 <br /> NUMBER OF DEViCES if fow voita e: <br /> FIRE ALARMI ❑YES ❑NO <br /> ASS(7CIAT�D BUILDtNG PERMIt#{if a licable : <br /> DESCRIPTION OF WORK: Install dedicated circuit to new Self-service cooler. <br /> ,`y�-�k Y,�.,fa" � 'na�tl- '`{a.uY�,y;� r,r J� 4 �d ��s �'. � '�` 'x y��. � '� „� "" i�aY+ rt : �#,�t�� E � <br /> �.��1 "���� 34 ,�s:.an.�r$��;��c�"',�:�, �`v��r. � F ,;���'"Q ��i,�`F 1� �� '�,s Q' $ ��'��.���.�`���s,�'�� �'��+.`..�'�.,����`?��''���s���`�'a�' <br /> :-:�i'C'y�,e'r�a��'�r.: "��... *�r "� ��-, y �k, �n�:`�` ,+�'�: .� � ��"R � .��� i'� hs, �t�t'r�,� c ��. �' .c !� '�C. <br /> OWNER NAME:S�aPbUCkS 3319 TENANT NAME If Commercial: <br /> OWNER MAILING ADDRESS: S,�E�2823 Colby Avenue <br /> c,,,, Everett �A� Washington vP 98201 ' <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRAC7'OR NAME: Lin R Rogers Electrical Contractors Inc <br /> CONTRACTOR ADaRESS: s�E�2050 Marconi Drive, Ste 200 <br /> �i�y Alpherett8 ' �A� GA ziP 30Q05 <br /> CONTRACTOR PHQNE: 770-772-3442 CONTRACTOREMAIL; License@LRogersElectric.cam <br /> coNr�ac�roa uc.#tReQuiRso�: EC LINRRRR956B1 CITY dF EVERETT BUStNESS LIC.#(REQUIRED):051310 <br /> PRINfARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 770-772-3442 <br /> Kiki Battle coNTact��n�,v�:License@LRogersElectric.com <br /> AGREEMEAtT.•!hereby certify that/have read and examinad thls application and know the same to be true and correct A/1 provisions of laws and ordinances goveming thfs type <br /> of work wip de comp/eted whether specTfred herein or not. The grenNng of a perm/t does not presume to give authoriry to vio/ate or cance/the provislons ot any other stat6 or <br /> tocal law regulating conshucflon or tlte perrormance of conshuctfon. 7hat!am aufhorizsd by the owner of thls proper[y to perfarm fhe work Por which appdcetion!s made and/ <br /> comply wlth the 5tate Contractors Law i8.2T RCW and 296.200 WAG <br /> City of Everett Offiaaf Use Only ' <br /> PERMIT# j <br /> o� E �� C�� ' b�l� r <br /> Owner/AuthoNzed Agent Stgnature Date (Revised 9l23/2016) � <br />