Laserfiche WebLink
�ECTRICAL PERMIT AP�ICATION <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.everettwa.gov/permits <br /> � ,. , . �-� � ,� u.� �� � , ���., <br /> , � n <br /> . � _ ���::���� �� <br /> ,_. _ � � . � ,_ _. <br /> PROJECT ADDRESS• 1130 SE Everett Nlall Way, Everett,WA 98208 -Best Buy <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: �COMMERCIAL <br /> USE OF BUILDING: Retail <br /> ��., � �, ���� �w, cec�rR�ca������� Q���,��R����r�o�k= �� <br /> �:_ <br /> __. . . _ _ <br /> CONTRACT PRICE OF WORK: $ 500.00 <br /> NUMBER OF DEVICES if low volta e : <br /> FIRE ALARM? ❑YES L�9 NO <br /> ASSOCIATED BUILDING PERMIT# if a licable : <br /> DESCRIPTION OF WORK: Disconnects and reconnects to reconfigure tablets area table. <br /> ���� ��<�G �� ����� � ��� � � ��� �� ��;��� � <br /> ����'_�����,.��������� �, � � � �CON��' lt�T��RMA��O�I ���� � ����� � <br /> �� �._ <br /> OWNER NAME: Best Buy TENANT NAME(If Commercial): Best Buy <br /> OWNER MAILING ADDRESS: srRe� 1130 SE Everett Mall Way <br /> cm� Everett STATE WA ZiP 98208 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Lin R. Rogers Electrical Contractors, Inc. <br /> CONTRACTOR ADDRESS: srReer 2050 Marconi Drive, Suite 200 <br /> �m, Alpharetta srA� GA ZiP 30005 <br /> CONTRACTOR PHONE: 770'772'7921 CONTRACTOR EMAIL: license@Irogerselectric.com <br /> CONTRACTOR LIC.#(REQUIRED): LINRRRR956B1 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 051310 <br /> PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 770-772-7921 <br /> Chris Kooser <br /> CONTACT EMAIL: license@Irogerselectric.com <br /> AGREEMENT.•T hereby certify that!have read and examined this application and know the same to be true and correct. All provisions of/aws and ordinances goveming this <br /> type of work will be completed whether speci�ed herein or not The granting of a permit does nof presume to give authonty to vio/ate or cancel the provisions of any othe�state or <br /> local law regulating construction or the performance of consfruction. That I am authorized by the owner of this property to perform the work for which application is made and 1 <br /> comp/y with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett O�cial Use On/y <br /> FEE <br /> YV � '�� <br /> �; PERMIT# <br /> ��� �� � � i� E � �� ( - �g <br /> � � � � <br /> Owner/Authorized Agent Signature ate (Revised 10/12/2015) <br />