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• <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 l(E)everetteps@everettwa.gov l www.everettwa.gov/permits <br /> - <br /> PROJECT ADDRESS: 1130 SE Everett Mall Way <br /> BUILDING AREA if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX D MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Commercial <br /> Y�ryy�,�i�; tis+rtj+':G�I,i%��;AR.�'�(�,Y:4�^�. ,#' .�� w.r' A • <br /> Y ►, . .', ::li"f:•' .r::.;:4/74•, ' : ti d >I C;RICI APPUCATIo1II INF. TIO "° ; : W, <br /> CONTRACT PRICE OF WORK:$ 3800.00 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Rogers Electric will be relocating circuits,(Registers,BMS,IDF cabinet,and Binder Server)to UPS panel. <br /> New UPS will be powered from existing electrical panel. <br /> •CO ' ,AST.: : ::,• <br /> .��� . ... . ., . . NT .INFORMATION . ; ':;.... �: :.; , . :�r r„✓%>�;. ,r..�� <br /> OWNER NAME: TENANT NAME(If Comrnerclal): TJ Maroc 1086 <br /> OWNER MAILING ADDRESS: emery <br /> 8TATE ZIP <br /> OWNER PHONE: }OWNER EMAIL: <br /> CONTRACTOR NAME; Un R Rogers Electrical Contractors Inc <br /> CONTRACTOR ADDRESS: smut 2050 Marconi Drive Suite 100 <br /> Cay Alpharetta STATE GA zip 30005 <br /> CONTRACTOR PHONE: 770-772-3481 'CONTRACTOR EMAIL: License r�LRogersElectric.com _ <br /> CONTRACTOR LIC.#(REQUIRED: LINRRRR956B1 CITY OF EVERETT BUSINESS UC.#(REQUIRED:051310 <br /> PRIMARY CONTACT: D OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 770-772-3491 <br /> Jacquelyn Richards CONTACT EMAIL:License@LRogersElectric.cam <br /> AGREEMENT.I hereby cern*that I have read and examined this appccetbn and know the same to be true and correct Ai provisions or laws and old$ansa governing this type <br /> of work wnt be camplatea whetherspacfted herein or not. The granting ore permit does not presume to gte authority to video or canoe/the=R7Miens of any ether state or <br /> focal law reguleUng construction of me perfbirnence of constrvetion. That t am eathor ed by the owner bt this property to whom;the work for which application is made 5E11 <br /> comply with the State Contractors Law 18.27 RCW end 290.200 WAC. <br /> Oty of Everett Official Use Only <br /> PERMIT# <br /> lL �, . %_ , . 1/4X©� /8 E i oc1 <br /> OwnnerfAulhorited , ret Signature Date (Revised 8232010) <br />