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ELECTRICAL PERMIT APPLICATION <br /> 1!!!!!!!!!::i <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 /> PROJECT ADDRESS: 906 Everett Mall Way Sink LkS'D <br /> BUILDING AREA(if residential,new construction,remodel,or addition)1,740 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Business <br /> °• 4 40001r. _ e .�"Pilo � I 1' N <br /> �a �� �• r m„ ¢ K7�wru �_ � a��10a_® �. 4 ���id.- ..,� a AtliA«,. <br /> CONTRACT PRICE OF WORK: $ 2000 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES D NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Installation of 6 new owlets for new Tenant <br /> ..^€�z dY � '�a, �. MAtes, <br /> OWNER NAME:Pflueger Everett Holdings TENANT NAME(If Commercial): Lam Atunt <br /> OWNER MAILING ADDRESS: STREET 601 Union Street#5300 <br /> c,n Seattle STATE WA ZIP 98101 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Northwest Edison <br /> CONTRACTOR ADDRESS: STREET 11807 North Creek Parkway S <br /> CITY Bothell STATE WA ZIP 98011 <br /> CONTRACTOR PHONE:4258069200 CONTRACTOR EMAIL: joanb@nwediSOn.com <br /> CONTRACTOR LIC.#(REQUIRED): NORTHEI983RD CITY OF EVERETT BUSINESS LIC.#(REQUIRED):050699 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 4258069200 <br /> Joan Blacker 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 I am authorized by the owner of this property to perform the work for which application is made and l <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> d -441 -- 9/7/te h3 Es i - 04A <br /> Owner/Authorized Agent , (Revised <br /> Sig ature 9/23/2016) <br />