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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 0:7 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 SITE INFORMATION <br /> PROJECT ADDRESS: 2505 Pacific Ave <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: 0 COMMERCIAL <br /> USE OF BUILDING: Retail <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 2500.00 <br /> • NUMBER OF DEVICES (if low voltage): • <br /> FIRE ALARM? 0 YES ®NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Quarterly Maint: Replacing lamps and ballasts throughout the interior and <br /> and exterior. Displays are not apart of the QM. <br /> CONTACT INFORMATION <br /> OWNER NAME:Lowes Compabies TENANT NAME(If Cbmmercial): Lowe's <br /> OWNER MAILING ADDRESS: STREET 1000 Lowes Blvd <br /> C,T.r Moorseville STATE NC ZIP 28117 <br /> OWNER PHONE: 1-800-445-6937 , OWNER EMAIL: <br /> CONTRACTOR NAME: West Coast Lighting & Energy, Inc. <br /> CONTRACTOR ADDRESS: STREET 18550 Minthorn St <br /> cRY Lake Elsinore STATE CA ZIP 92530 <br /> CONTRACTOR PHONE: 951-296-0680 CONTRACTOR EMAIL: Info@westcoastlightingandenergy.com <br /> CONTRACTOR LIC.#(REQUIRED): ECTWESTCCL929B CITY OF EVERETT BUSINESS LIC.#(REQUIRED):047162 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 951-296-0680 <br /> Micah Hazen CONTACT EMAIL:info@westcoastlightingandenergy.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 la: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 /> I:cal law requlatinq cons:rut:ann 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 I <br /> comply will,thu State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> � 3i I i� E \ S01- (P1 <br /> ownerlAuthorizoC Agent ature Date (Revised 9/23/2016) <br />