Laserfiche WebLink
E�CTRICAL PERMIT AP �CATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everettwa.gov� www.everetfinra.gov/permits <br /> PROJECT SfTE INF�'lRMA"TION <br /> PRtOJECT ADDRESS: Best Buy 566: 1130 SE Everett Mall Way, Everett, WA 98208 <br /> BUILDING AREA(if residential, new construction, remodel,or addition} SF <br /> BUILDING TYPE: �SFR-DETACHED ❑SFR-ATI'ACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: LZI COMMERCIAL <br /> USE OF BUILDING: Commercial <br /> ELECTRICAL APPLICATION INFORMATION <br /> �ONTRACT PRICE OF WORK: $ 7,100.00 <br /> NUMBER OF DEVICES if low volta e : <br /> FIRE ALARM? ❑YES ❑NO <br /> ASSOCIATED BUILDING PERMIT# if a licable): <br /> DESCRIPTION OF WORK: Samsung Display: move/reconfigure 7 circuits, install 23 new receptacles <br /> CONTACT INFORMATION <br /> CJWNER NAME: TENANT NAME(If Commercial): <br /> C)WNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> pWNER PHONE: OWNER EMAII: <br /> CONTRACTOR NAME: Lin R Rogers Electrical Contractors Inc <br /> CONTRACTOR ADDRESS: STREET 2050 Marconi Drive, St@ 2�0 <br /> �,n Alpharetta srnTe GA ZiP 30005 <br /> CONTRACTOR PHONE: 770-772-3472 CONTRACTOR EMAIL: License@LRogersElectric.com <br /> CONTRACTOR LIC.#tReQuiRe�>: EC LINRRRR95661 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 05131 O <br /> PRIMARY CONTACT: ❑OWNER QI CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 770-772-3472 <br /> Devitl coNTacT ennAi�: License@LRogersElectric.com <br /> AGRFEMENT.•I her�by certify that!have read and examined fhis application and know the same to be true and correct. All provisions of/aws and ordinances goveming this fype <br /> of work will be cromp/eted whether specif'ied herein or not. The granting of a permit does not presume to give authority to violate or cance!the provisions oi any other state or <br /> local!aw regu/ating construction or the performance of construction. That/am authorized by the owner of this property to perform tha work for which application is made and 1 <br /> comp/y wifh the State Contractors Law 18.27 RCW and 296.200 WLIC. <br /> City of Evereff O�cia/Use Only <br /> ��� <br /> PERMIT# <br /> � �' � ��!-7 E � ? o �- b�9 <br /> Owner/Authorl d Agent Signature Date (Revised 9P23/2016) <br />