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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 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT ADDRESS: 10121 evergreen way suitel5 <br /> BUILDING AREA(if residential, new construction, remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: m COMMERCIAL <br /> USE OF BUILDING: restaurant <br /> CONTRACT PRICE OF WORK: $ 17,500 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? ❑YES ®NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: exterior facade, alter lighting and sign circuits, all loads reduced, install new LED soffit lights <br /> a�a � ��a,,�M�r:. ,�. � , g � up ��.`�� r.- a+ � _;. •g via L �..'y' „_ <br /> OWNER NAME: SOUTH POINT PLAZA LLCC/O PACIFIC ASSET ADVISORS INC TENANT NAME(If Commercial): OUTBACK STEAK HOUSE <br /> OWNER MAILING ADDRESS: STREET 14205 SE 36TH ST SUITE 215 <br /> c,Tv BELLEVUE STATE WA zip 98006 <br /> OWNER PHONE: TOWNER EMAIL o.........r...... a ...,, ,. ... ... u....u .. <br /> CONTRACTOR NAME: R J CLARK LLC <br /> CONTRACTOR ADDRESS: STREET 19424 67TH AVE SE <br /> c,Ty SNOHOMISH STATE WA zip 98296 <br /> CONTRACTOR PHONE: 206-510-8983 CONTRACTOR EMAIL: rjclarkllC@gmail.cOm <br /> CONTRACTOR LIC.#(REQUIRED): RJCLAL*981MA CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 041260 <br /> PRIMARY CONTACT: 0 OWNER VI CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-510-8983 <br /> robert Clark CONTACT EMAIL: rjclarklIc@gmail.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/am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> /e64#211,t- "/�, (/?^E � 10/11/18 E 1 S [ D7 <br /> b <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) ((// <br />