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(0111:71, 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 I (E)everetteps@everettwa.gov 1 www.everet wa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 4620 Evergreen Way, Everett, WA 98203 <br /> BUILDING AREA(if residential, new construction, remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX I]MULT!-FAMILY-#OF UNITS: <br /> USE OF BUILDING: Car dealer Q!COMMERCIAL <br /> ArmRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: ., 8,200 <br /> NUMBER OF DEVICES if low . .. <br /> FIRE ALARM? 0 YES Olir NO <br /> Now <br /> ASSOCIATED BUILDING PERMif applicable): <br /> DESCRIPTION OF WORK: Lighting retrofit to LED using PUD rebates <br /> CONTACT INFORMATION <br /> OWNER NAME:Aref Divsar TENANT NAME(If Commercial: Payless Auto Sales <br /> OWNER MAILING ADDRESS: STREET P 0 Box 33382 <br /> Ore Seattle STATE WA <br /> OWNER PHONE: 206-334-4999 zra 98133 <br /> OWNER EMAIL:divsararef@msn.corn <br /> CONTRACTOR NAME: Energy Management Services, Inc <br /> CONTRACTOR ADDRESS: STREET 204 Lamar Dr. <br /> c,Tr Mukiltea STATE WA <br /> CONTRACTOR PHONE: 425-273-7300 ZIP 98 <br /> CONTRACTOR EMAIL: ems@ems;wa.com <br /> /041 <br /> CONTRACTOR LIC.#REQUIRED): ENERGMS913B6 CITY OF EVERETT BUSINESS LIC,#(REQUIREo4*'00 <br /> PRIMARY CONTACT: 0 OWNER is CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: <br /> CONTACT PHONE: 425-273-7300 <br /> Sam Nam CONTACT EMAIL:•ems@emsiwa.COm <br /> AG/?EEMENT,.1 hereby certify that I have mad and examined this application and know the same to be lire and correct. All provisions of laws and ordinances governing this typo <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 stateor <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 1 <br /> comply with the State Contractors Law 18.27 ROW and 298200 WAC. <br /> City of Everett Official Use Only <br /> 4111111tridliA - <br /> e PERMIT# <br /> oi/ G E <br /> Owner/Authorized Ag=nt Signature <br /> Date rRm1neo.+ar,.5nn,.ot <br /> Z /Z # lZ9£ltiL9Zti L988L9Z9Zti� of �oa� WdO Z0 86-60-80 <br />