405 SE EVERETT MALL WAY 2019-09-05

OLT ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 FAX 425-257-8857 f (E)everetteps@everettwagov J www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 445 SE Everett Mall Way Everett.",AIA sFhi;l BUILDING AREA(if residential,new construction,remodel,or addiition)10- 00 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX ❑MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: I:t,F r ELECTRICAL.APPLICATION INFORMATION CONTRACT PRICE OF WORK: S base on the whole project in con t.0 ition with the itrik,tch permit NUMBER OF DEVICES(if low voltage): 2 `LONG FIRE ALARM? 0 YES C' NO ASSOCIATED BUILDING PERMIT#(if applicable): 61802-006 DESCRIPTION OF WORK: Terminate EMS sensor wiling. . Relocate alarm panel per dwg. demo 4 existing cases. install 5 owner CONTACT INFORMATION OWNER NAME: Tardet# 337 TENANT NAME(If Commercial): T rqet# 337 OWNER MAILING ADDRESS: STREET PO BOX 9456a¢ ,g CITY MINNEAPOLIS, STATE r%!$. ziP 55440 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:Source Refrigeration & HVAC, Inc. CONTRACTOR ADDRESS: STREET BREA } 5 S. State College Blvd. Ste# 200 CITY BSTATE CA ziP 92821 .' CONTRACTOR PHONE: 503-327-3266 CONTRACTOR EMAIL: rhorton@sourcerefrigeration,corn CONTRACTOR LIC.#(REQUIRED): SO RC Rf-892 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 39891 PRIMARY CONTACT: O OWNER t CONTRACTOR 0 OTHER(Please Specify) Scott rMelis 206-304-7684 CONTACT NAME: CONTACT PHONE: 503-327-3266 Rebecca Horton CONTACT EMAIL: rhortort©sourcerefrigerc-Ition.com AGREEMENT f hereby certify that l 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 lam 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# - )- 3 caob- Owner/Authorized Agent Signature Date (Revised 9/23/2016)