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.� i <br /> ; <br /> � <br /> � <br /> ELECTRICAL PERMIT APPLICATION ' <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE7T,WA 98201 ' <br /> (P)425-257-8810 � FAX 425-257-8857 � (E)evere#teps@evere#twa.gov� www.everettwa.govlpermits <br /> PROJECT ADDRESS: Best Buy 566: 1130 SE Everett Mall Way, Everett,WA 98208 <br /> BUfLDING AREA(�f resfdential,new construction,remodel,or addi�on) SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATfACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: m COMMERCIAL <br /> USE OF BUILDING: COI11f1'1@�CIB� <br /> CONTRAGT PRICE OP WORK:$ 25,850.00 <br /> NUMBER OF DEVICES if low volta e: <br /> FIRE ALARM? ❑YES ❑NO <br /> AS30CIATED BUILDING PERMiT# if a licable : <br /> DESCRIPTIOPI OF WORK: Disconnects and reconnects for gondola moves inside Best Buy <br /> W.. ,.,,z . . . . .. <br /> •, �- , ,,.,, f <br /> w� . _}�.�t���;., ��... �.. <br /> .. �. .,. . ,>,,.. . . <br /> . x . . ' " ' <br /> � �.. .. �., .�. ..... > . . <br /> . _ « . .. ..... . <br /> OWNER NAME: TENAN7 NAME(if Commercial : <br /> OWNER MAILING ADDRESS: srn�T <br /> CITY STATE ZiP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Lin R Rogers Electrical Contrac#ors Inc <br /> CONTRACTORADDRESS: S,�EEr2050 Marconi Drive, Ste 200 <br /> a,�„Alpharetta STATE GA LP 30005 <br /> CONTRACTOR PHONE: 770-772-3472 CONTRACTOR EMAIL: LicenseQLRogersElectric.com <br /> CONTftACTQR LIC.#(REQUIRED): EC LINRRRR95661 CITY OF EVERE7T BUSINE83 LIC.#(REQUIRED: O5'l3'10 <br /> . _ ..... ... .. _ _ . . _. .... .. . . _ .: <br /> _. _ . _ <br /> PRiMARY CONTACT: �OWNER �1 CONTRACTOR ❑OTHER(Please 5pecify) <br /> CONTACT NAME: CON7ACT PHONE: 77a772-3442 ` <br /> kiki CONTACT EAAAIL:License@LRogersElectric.com � <br /> AGREEMENT.•!hereby ceitNy that!have�ad and examined this applrcation and know the same fo be trus and correct A!I provlslons of faws and ordMances governMg thls type <br /> of work wll!be comp/eted whethsr spe��/fied hereln or not. The granHng oi a permtt does not presume fo give a�rtirorily to viotate or canse/the provTslons of any other state or <br /> locaf law regu/ating construction or the perlormance qf oonstrucGon. That/am authomed by the owner of this property to perfomt the wrork for which appticatlo»is made and f <br /> comply with the State Conbactors Law 18.27 RCW anof 29&200 WAC. <br /> City of Everett OfHcral Use Only ; <br /> �..�� +. <br /> PERMIT# � <br /> � <br /> - l3 /� E 1.�� - � g i <br /> OwneNAuthorized Agent Signature Date (Revlsed 8P23�2096} <br />