515 SE EVERETT MALL WAY STARBUCKS 2019-09-05

PE CTRICAL PERMIT APP KATION I�►' CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT'SITE.:INFORMATION. ' • PROJECT ADDRESS: 515 SE Everett Mall Way BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: Ei COMMERCIAL USE OF BUILDING: Coffee Shop ELECTRICAL APPLICATION INFORMATION,,:'.....;: CONTRACT PRICE OF WORK:$ 350.00 NUMBER OF DEVICES(If low voltage): FIRE ALARM? 0 YES Q.l NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Install (1) 120V 20A receptacle for new blender CONTACT INFORMATION.. OWNER NAME: Starbucks TENANT NAME(If Commercial): Starbucks OWNER MAILING ADDRESS: STREET 515 SE Everett Mall Way my Everett STATE WA ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: SeaTac Electric CONTRACTOR ADDRESS: STREET 7056 So. 220th St CITY Kent STATE WA zip 98032 CONTRACTOR PHONE: 253-872-5553 CONTRACTOR EMAIL: dawn.lanz@Seataoelectric.com ! CONTRACTOR LIC.#(REQUIRED): SEATAEI077RW CITY OF EVERETT BUSINESS LIC.#(REQUIR D): 033037. PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 253-867-2356 1 Dawn Lanz CONTACT EMAIL dawn.lanz@seataceiectric.com AGREEMENT!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 1 am authorized by the owner of this property to perform the work for which application is merle and! comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# to) -(1• (1 E `cic (o— c -c. Owner/Authorized Agent Signature Date (Revised 9/23/2016)