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ELECTRICAL PERMtT APPLICATiON � <br /> CITY OF EVERETT PERMIT SERVIGES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-88'10 � FAX 425-257-8857 � (E)everetteps�everetlwa.gov( www.everetfwa.gov/permits <br /> : x <br /> ' � ,, :,� s � �'k P�OJECT S17"�lNFQ�tM1�T10N F'� f �,� �� ` '; ' � �`�� ; � ` �: <br /> , . � , . . .. . :.... ,. <br /> PROJECT ADDRE5S: 1130 SE Everett Mall Wa <br /> BUILWNG AREA(ff residentlal,new construction,remodel,or additfon) SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMEF2CIAL <br /> USE OF 9UILDING: Retail � <br /> � • ,: �, , ; <br /> "�.._. � , ,. . ,. �;ELE�TR�'CAL��A�'P�I,.CAT�O�;INFORMATIO�1 �f , ,' �r, � . <br /> + � r N f J <br /> CONTRAC7 PRICE OF WORK:$ 850A0 <br /> NUMBER OF DEVICES if low volta e : <br /> FIRE ALARM? ❑YES 0 NO <br /> ASSOCIATED BUILDING PERMIT# if a Iicable : N/A <br /> DESCRIPTION OF WORK: Disconnecting fhe electrical to the current ondola/displa , the will be putting a <br /> new amazon tablet table in its place, once this is set up we will retum to reconnect the electrical wark. <br /> '' ';�t1k+ITAGT iNFQRIkM/#TION <br /> , f <br /> OWNER NAME:�@St BU TENANT NAME If Commerclal :B@St BUy <br /> OWNEFt MAILING ADDRESB: B,�E����0 SE Everett Ma(I Way <br /> �,�Everett STATE WA Z�98208 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRAGTOR NAME: Lin R. Ro ers Electrical Contractors, �11C. <br /> CONTRACTOR ADDRESS: S,���T2050 Marconi Drive, Stg ZOO <br /> �,�Alpharetta srn�GA ziP 30005 <br /> CON7RACTOR PHONE:770-772-792� CON7RAC70R EMAIL: license@Irogerselectric.com <br /> CONTRACTOR LIC.#REQUIRED: ECLINRRRR956B1 CI7Y OF EVERETT BUSINESS UC.#RE4UIRED:(�� � (d <br /> PRIMARY CONTACT. ❑OWNER 0 CONTRACTOR �OTHER(Plesse Specify) <br /> CQNTACT NAME: GONTACT PHONE: 77Q_�72_792'� <br /> Ashley Walis CONTACT EMAiI.:�icense [ro erselectric.cam <br /> AGREEMENT.�I hereby cerf/fy that!have rgad and examined lhis applicadat and know fhs seme!o be kue artd cor►ect A8 provlsions of laws and ordinanQes goveming fhls fype <br /> of avork wlll be complefed whether speclRed heretn or not. The granting of a psmNt does nat presume to give authorlty to violate or cancel fhe provfalorts of any oEher atate or <br /> locsl law reg�ulaHng co»stnictlon or the pedormance of construcHon. That 1 am authwhed by the owner of lhls property to perform the work for whfch sppNcaBon fs made and 1 <br /> compfy wlth tfre State Conkactors Law?8 27 RCW and 298.200 WAC. <br /> Gtty of Everet#OIflclal Use Oniy <br /> PERMIT# <br /> �i s ,.� � E 1 C� �� - �, � <br /> Owner/Autho d Agent Slpnature pate (Revlsed 9/23/2096) <br />