1130 SE EVERETT MALL WAY BEST BUY 2020-01-21

grr ELECTRICAL PERMIT APPLICATION 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: 1 1 30 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: 0 COMMERCIAL USE OF BUILDING: Retail ELECTRIC AL.APPLICATION•1NFORMAT1011 CONTRACT PRICE OF WORK:$ 3500.0 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Replacing lamps and ballasts throughout the store and warehouse. CONTACT INFORMATION OWNER NAME:Staple's TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 500 Staples Dr cr,,. Framingham STATE MA ZIP 01702 OWNER PHONE: (508) 253-5000 OWNER EMAIL:n/a CONTRACTOR NAME:West Coast Lighting & Energy Inc. CONTRACTOR ADDRESS: STREET 18550 Minthorn St c,n,.Lake Elsinore STATE CA 7, 92530 CONTRACTOR PHONE: 9512960680 CONTRACTOR EMAIL: orvva@wcieinc.com CONTRACTOR LIC.*REQUIRED): EC WESTCCL929B CITY OF EVERETT BUSINESS LIC.#(REQUIRED):047162 PRIMARY CONTACT: 8 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 951-296-0680 Micah Hazen CONTACT EMAIL:C)RWA@WCLEINC.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 I 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# Owner/Authorized A t Signature Date (Revised 9/23/2016)