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lECTRICAL PERMIT AILICATION <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 www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 4030 Rucker Ave Everett, WA 98201 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: BP Gas Station <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 650.00 <br /> NUMBER OF DEVICES(if low voltage): Five LED 2'fixtures <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Installing five LED 2'fixtures. <br /> CONTACT INFORMATION <br /> OWNER NAME:BP Station TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 8030 Rucker Ave <br /> CITY Everett STATE WA zjP 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Seatac Electric, Inc <br /> CONTRACTOR ADDRESS: STREET 7056 S. 220th Street <br /> cm. Kent STATE WA zip 98032 <br /> CONTRACTOR PHONE: 253-872-5553 IcotrrnacroR EMAIL: ebony.oneill@seatacelectric.com <br /> CONTRACTOR LIC.#(REQUIRED): seataei077rw CITY OF EVERETT BUSINESS UC.#(REQUIRED): 033037 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Carlos Alegria <br /> CONTACT NAME: CONTACT PHONE: 206-406-7741 <br /> Carlos Alegria CONTACT EMAIL:Carlos.alegria@seatacelectric.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 l 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 1827 RCW and 296.200 WAG. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> /S a Iy E I %D --( ;g <br /> uthorized Agent Signature Date (Revised 923/2016) <br />