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ELECTRICAL PERMIT AP (CATION <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 www.everettwa.gov/permits <br /> ONIMIMMOOMIMANIP <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: FedEx EVR: 3625 8th St. Everett, WA 98201 <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: Commercial <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 1,500.00 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: <br /> Install(2)-20A dedicated circuits for the existing UPS back up system.(1)single 3-prong outlet for each.Install the UPS equipement that is on site. <br /> CONTACT INFORMATION _ <br /> OWNER NAME: TENANT NAME(If Commercial): FedEx Fright Inc EVR <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Lin R Rogers Electrical Contractors Inc <br /> CONTRACTOR ADDRESS: sTREEr 2050 Marconi Drive, Ste 200 <br /> cry Alpharetta STATE GA zip 30005 <br /> CONTRACTOR PHONE: 770-772-3472 CONTRACTOR EMAIL: License©LRogersElectric.corn <br /> CONTRACTOR LIC.#(REQUIRED): EC LINRRRR956B1 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 051310 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 770-772-3429 <br /> Stephanie Kush CONTACT EMAIL: License@LRogersElectric.com <br /> AGREEMENT'!hereby certify that!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 lam 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 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PE I # <br /> • Ct, 2r1/e E ti4b(0- (otol <br /> Owner/Authorized t' !Ent Signature Date (Revised 9/23/2016) <br />