1203 SE EVERETT MALL WAY PETCO 2019-01-29

ELECTRICAL PERMIT APPLICATION __ CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 ,gF� (P)425-257-8810 ;l FAX 425-257-8857 1 (E)everetteps©everettwa.gov( vwvw.everettwa.govlpermits xC,r � Y <.a i. t sS`�!T F� E��`3^it tw'p f ak ': maxO F'"• .M' PROJECT ADDRESS: 1203 SE Everett Mall Way Suite F Everett, WA 98208 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: At ^i Vc s irk $_ ,510104071 RICAL APPLICATION-INFORre**10 #040 it CONTRACT PRICE OF WORK:$ 495.00 NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Altering one circuit for the fridge CONThACT INFORMATION OWNER NAME: TENANT NAME(If Commercial):Petco 244 OWNER MAIUNG ADDRESS: sTReET CRY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:Lin R Rogers Electrical Contractors CONTRACTOR ADDRESS: STREET2050 Marconi Drive Suite 100 c,r,Alpharetta STATE GA zip 30005 CONTRACTOR PHONE:770-772-3491 CONTRACTOR EMAIL: license@LRogersElectric.com CONTRACTOR LIC.#(REQUIRED): LINRRRR956BI CITY OF EVERETT BUSINESS LIC.#(REQUIRED):051310 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 770-772-3429 Stephanie Kush CONTACT EMAIL:license@LRogersElectric.com AGREEMENT:I hereby certify that I have read and examined this application and know the same to be tare and correct. All provisions of laws and ordinances governing this type of work wit 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!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 1827 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# 6/2, 'y//r E W=06- uthortzed Agent Signature Date (Revised 9/23/2016)