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ELECTRICAL L PE MIT APPLICATION <br /> TI <br /> 1_ CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT„WA 98201 <br /> (P)425-257-8810 l FAX 425-257-8857 1(E)everetteps@everettwa.gov( www.everettwa.gov/perrnIts <br /> PRiliI ";:4.0 IINF 81111 T1ON <br /> PROJECT ADDR : 10200 19th Ave SE <br /> BUILDING AREA(if residential,new construction,remodel,or addition),_ S <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 'E1 DUPLEX 0 MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> USE OF BUILDING: Retail <br /> ri .y <br /> Eta TRi > tf`��qq**i .. . ^.* . .A,iw�iO�tr .'. <br /> CONTRACT PRICE OF WORK: 760 <br /> NUMBER OF DEVICES(if low voltagel: <br /> FIRE ALARM? D YES CI No <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: <br /> Install (1)additional 30 Amp 120/240 Volt circuit to drop cord for replacement floral cooler on sales floor <br /> CONTACT IINF RMATIIO 1+t <br /> OWNER NAME: Costo TENANT NAME(If Commercial <br /> OWNER MAILING ADDRESS: sTREET 10200 19th Ave SE <br /> Ev tuft, STATE WA 98208 <br /> OWNER PHONE: 425 379-7451 OWNER EMAIL.:. <br /> CONTRACTOR NAME: gayer Electric Co Inc <br /> CONTRACTOR ADDRESS: STREET 8119 240th St SW <br /> Edlnortds STATE WA 98026 <br /> CONTRACTOR PHONE: 206 367-7606 CONTRACTOR EMAIL: karen boyere ectric.com <br /> CONTRACTOR LIC.#P EOUIRED): EOVEREC1 O1 LE CITY OF EVERETT BUETNESS LIC.:#IRFOUIRED;:22147 <br /> PRIMARY CONTACT: D OWNER la CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206 367-7606 <br /> Karen Hanson CONTACT EMAIL: k Oren toyerelectric, rrt <br /> AGREEMENT,'litareby:: met Maya seal andosamined this application anti know the sant.to be Poe endeoweoL Ai" Pre vdbmot''t ws end ordtbances gumming this type <br /> of wink will be completed wherries'specirted herein car nc+t. The granting of a permit does not presume 10 gIVe•ecrtltortty to Miele.or canal the provisions of any otter state or <br /> lo €few regulating construction or the performance of ct nstniceon. That I a authorized by the owner ofThis .:to peewit the too _ appNcshoe Ls made and I <br /> corm*with Ma state C nlrectore Law 18,27 ROW end 296.200 WAC. <br /> Ctt ,of Evereit ottiaavuoe 0111y <br /> PERMIT <br /> E (SO2 <br /> Owner AultrizidAgent Signature Date (Revisor(Hit 2016 <br />