12906 19TH AVE SE J P MORGAN CHASE BANK 2019-06-11

47"r ECTRICAL PERMIT AF CATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 12906 19th Ave SE •°,4"- BUILDING AREA(if residential, new construction,remodel,or addition) 1180 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ¢J COMMERCIAL USE OF BUILDING: Bank ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ $4100.00 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: LED retrofit interior for JP Morgan Chase Bank CONTACT INFORMATION OWNER NAME:JPMorgan Chase Bank TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET PO Box 1919 CITY Wichita Falls STATE TX ZIP 76307 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Lin R Rogers Electrical Contractors, Inc CONTRACTOR ADDRESS: STREET 2050 Marconi Drive, Ste 200 ciTy Alpharetta STATE GA ZIP 30005 CONTRACTOR PHONE: 770-772-3472 CONTRACTOR EMAIL: License@LRogersElectric.com CONTRACTOR LIC.#(REQUIRED): EC LINRRRR956B CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 770-772-3472 Devin Ragnow CONTACT EMAIL:License©LRogersElectric.com 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 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 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 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# (� r //q/-70/ E 02-4 Owner/Authorized Agent Signature Date (Revised 9/23/2016)