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A#111P IlLECTRICAL PERMIT AFS LICATION <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 c@r everettwa. ov I www.everettwa gav/permits <br /> Baa <br /> PROJECT ADDRESS: 13258 EVERETT ALL WAY; EVERETT, WA 98208 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED ID SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> ....s.Cs w5 <br /> CONTRACT PRICE OF WORK:$ '1 8OO <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: MICHAELS STORE JOB 43148 (5) CKTS FOR LIGHTING RETROFIT <br /> r <br /> OWNER NAME: TENANT NAME(If Commercial): MICHAELS STORE <br /> OWNER MAILING ADDRESS: sir a r <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: CHRISTENSON.ELECTRIC <br /> CONTRACTOR ADDRESS: STREET 17201 NE SACRAMENTO ST <br /> crry PORTLAND STATE OR z, 97230 <br /> CONTRACTOR PHONE: 503-419-3344 CONTRACTOR EMAIL: dispatchaChristenson.corn <br /> CONTRACTOR LIC.#(REQUIRED) C1- RISEI497JKCITY OF EVERETT BUSINESS LIC.#(REQUIRED) / //1 <br /> PRIMARY CONTACT: D OWNER ca CONTRACTOR 13 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 503-419-3344 <br /> SUZI FLOWERS CONTACT EMAIL:dispatch@christenson.com <br /> AGREEMENT:I hereby certify that l have read and examined this application and know the same to be true and correct All provisions of taws 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 o construction. That I 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 /> E <br /> V) 11111 <br /> Owner/Authorized _: t Signature Date (Revised 9/23/2016) <br />