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� <br />� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SEF`VICES <br />3200 CEDAR STREET, EVERETT, VVA 98201 <br />425-257•8810 - FAX 425-257-8857 - vnvw evereltwa.org <br />9929 Evergreen Way Everett 98204 <br />PROJECT ADDRESS <br />Ownef <br />f.'.ail Aaeress <br />Gry <br />Washington Federal 9929 Evergreen Way Everett <br />Tenant <br />.'la�.!AC�ress <br />C�Iy <br />StateR��p Phore <br />WA 98204 425.609.1590 <br />Slate2�p i none <br />Lumenel Lighting LLC 21706 66th Avenue West Mountlake Terrace WA, 98043 425-461-5001 <br />E!eUnca! Cortracror f. ad Fdarocs <br />LUMENLL864LW <br />State Ucaase Numbzr <br />COMMERCIAL <br />ProFcsed Use ol Bui!tlmg <br />Square Footage pf residentiai new construcbon, remoCel or addiNon) <br />c,�v sia��rz�, ano�� <br />$9100.00 <br />Contrac: Pnce of VJcrk <br />Contact Person (Plan Review) <br />NumDer ol tlevices (Il low voltage) <br />��S:��Pt�o��,�va,k,oe�oo�e Replace existing HID pole fixtures with LED <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />1 hereDy ce�Lly !ha( I have rend and exarnrned lhis npplica(ion and know fha same fo Ae Gue and <br />cortecf All prows�ons o( la�.vs antl ordmances 9ovemmg this type ol �voM vn�l Oo complofetl <br />whether speaGed here�n or nof 7ho 9�an(ing ol a pgrmif does nof presumo fo give a�fhonty (o <br />v�ol�te or cancel lho provisrons olany ofhar sfafo or lotel law regulafing r,onsfruclion orlhe <br />pedomrance o/tonsWct�on. Aiaf 1 am aufhorired by fhe owner o!(his property to pedonn fhe <br />wo�k lor which upplicaGon is made and I comply wifh (/;e Sfafe Conlractors La�.v f8 27 RCW and <br />�oR �nn wnr. <br />FEE <br />23(� S° <br />PERMff# <br />E 150�-0�( <br />