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From: 09/017 12:18 #774 P.001 /001 <br /> '11111100V7V-----4 ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I -FAX 425-257-8857 i (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> '011 <br /> .,.....,.....11 ...,..... �...Y.. ....... ....s,t._.,t .-. %._._<:...x:Pi3.ID.�.IE�. __. : .. '�"l':i •..\.. <br /> �.. ....�...,..°.....:.,.....,t... _. ,._�_.-.:..:.....__..._,._.. .. ..r_ .._yea .:.. ..�...�F_ 'fi N... ..:.:: <br /> 111111 <br /> PROJECT ADDRESS: 11400 Highway 99 <br /> BUILDING AREA(if residential,new construction, remodel, or addition) SF <br /> BUILDING TYPE: O SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: m COMMERCIAL <br /> USE OF BUILDING: Retail <br /> t ,. , ,..n.. .. .... A�p i t ,...:n..:^::..,fin?.t-... <br /> . ....,,. ....�.., .. ,. ,. .. ...... .. :.R.. „ .. Sri<`=: <br /> .:,Y.:...L..t.?.xx..,.,v...,.:..Y;.�:,.:tivv.:n`:..,..,..t+1:v'yS:a:'!v::�='.:�!<:11.:n:`.?'n',�::1 <br /> CONTRACT PRICE OF WORK: $ 7000.00 <br /> NUMBER OF DEVICES(if low voltage): 0 <br /> FIRE ALARM? 0 YES m NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Exterior lighting upgrade of pole lights& wall packs to new LED fixtures <br /> ISESIBISill : , <br /> OWNER NAME:Wal-Mart Stores TENANT NAME(If Commercial): Wal-Mart 5195 <br /> OWNER MAILING ADDRESS: STREET 702 SW 8th Street <br /> CITY Bentonville STATE AR ZIP 72716 <br /> OWNER PHONE: 479-273-4000 OWNER EMAIL: <br /> CONTRACTOR NAME: Northwest Edison <br /> CONTRACTOR ADDRESS: STREET 19804 141st Place NE <br /> CITY Woodinville STATE WA ZIP 98072 <br /> CONTRACTOR PHONE: 425=806-9200 CONTRACTOR EMAIL: jOanb@nwedison.com <br /> CONTRACTOR LIC.#(REQUIRED): NORTHE1983RD CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 050699 <br /> PRIMARY CONTACT: 0 OWNER la CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 360-296-2019 <br /> Jared Werdall CONTACT EMAIL:joanb@nwedison.com <br /> AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type <br /> of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That!am authorized by the owner of this property to perform the work for which application Is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> � PERMIT# <br /> (7-/4— I E (7 D ci <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />