2500 HEWITT AVE BASE FILE 2024-08-08

ELECTRICAL PERMIT APPLICATION _, CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits �m tel. i od PROJECT ADDRESS: 2500 HEWITT AVE BUILDING AREA(if residential, new construction, remodel, or addition)4000 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: El COMMERCIAL USE OF BUILDING: Charity Organization ..s,c� a „--,•2;...,k., * �-'F m rcpt CONTRACT PRICE OF WORK: $ 5228 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES ®NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Remove 3 existing HID pole mounted luminaires and replace with 3 new LED luminaires. y. �� z �� t Wlr r. ,, E a.r „i- mac ' , y��' w 4- .,,...,: :"=; �' _...�.;� : d,�Y. ,. :Fps 4ctrXWiaolg�xr,s -,f,a'aaai OWNER NAME: GARY PETERSEN TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2325 79TH AVE SE cry LAKE STEVENS STATE WA ZIP 98258 OWNER PHONE: 425-501-0000 OWNER EMAIL: GPGTE@COMCAST.NET CONTRACTOR NAME: LUMENAL LIGHTING CONTRACTOR ADDRESS: STREET 21706 66TH AVE W cin. MOUNTLAKE TERRACE STATE WA ZIP 98043 CONTRACTOR PHONE: 425-481-5001 'CONTRACTOR EMAIL: SERVICE@LUMENAL.COM LUMENAL.COM CONTRACTOR LIC.#(REQUIRED): LUMENLL864LW CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 052486 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-947-0900 JOHN DANNAR CONTACT EMAIL:JDANNAR@LUMENAL.COM AGREEMENT:I hereby certify that l have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type 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 local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. • City of Everett Official Use Only PERMIT# 06/20/18 E [tb0(a--151 Own Authorized Agent Signature Date (Revised 9/23/2016)