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01147., LCTRICAL 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 l (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 802 E. Mukilteo Blvd. Bldg. 100, Everett, WA 98203 <br /> BUILDING AREA(if residential, new construction, remodel,or addition) 1000 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ®COMMERCIAL <br /> USE OF BUILDING: Offices <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 1000 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? m YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Retrofit flourescent lighting (T-12 to T-8 LED), new lighting, new point-of-use hot water heater <br /> CONTACT INFORMATION <br /> OWNER NAME: City of Everett TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 802 E. Mukilteo Blvd., Everett, WA 98203 <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE: 425-257-7334 OWNER EMAIL: vmclaughlin@everettwa.gov <br /> CONTRACTOR NAME: Von McLaughlin <br /> CONTRACTOR ADDRESS: STREET 802 E. Mukilteo Blvd. <br /> CITY Everett STATE WA ZIP 98203 <br /> CONTRACTOR PHONE: 425-257-7334 CONTRACTOR EMAIL: vmclaughlin@everettwa.gov <br /> CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 1 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-257-7334 <br /> Von McLaughlin CONTACT EMAIL: vmclaughlin@everettwa.gov <br /> AGREEMENT I hereby certify that 1 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 I 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 /> \lot ) \i3 <br /> City of Everett Official Use Only <br /> PERMIT# <br /> tt—� E <br /> n /Auth'rized Agent igna ure Date (Revised 9/23/2016) <br />