4919 EVERGREEN WAY QFC 2019-09-05

TT ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (ID) 425-257-8810 I FAX 425-257-8857 I (E) everettepsgeverettwa.gov I wvvvv.everettwa.govipermits PROJECT SITE INFORMATION PROJECT ADDRESS: 4919 EVERGREEN 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: 10 COMMERCIAL USE OF BUILDING: RETAIL ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 1200 NUMBER OF DEVICES Of low voltage): 1 FIRE ALARM? 0 YES Fa NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: WIRE FOR RECEPTACLES NEAR ENTRY DOORS CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): QFC OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: STONER ELECTRIC, INC CONTRACTOR ADDRESS: STREET 1904 SE OCHOCO cm, MILWAUKIE STATE OREGON 97222 CONTRACTOR PHONE: 503-462-6500 'CONTRACTOR EMAIL: PERMITS@STONERGROUP.COM CONTRACTOR LIC.*REQUIRED): STONEREC322PG CITY OF EVERETT BUSINESS LIC.*REQUIRED): 039886 PRIMARY CONTACT: 0 OWNER VI CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 503-462-5214 DENNIS WHITCOMB CONTACT EMAIL: PERMITS©STONERGROUP.COM AGREEMENT /hereby certify that I have read and examined this application and know the same to be true and correct. Ali 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# , /2' 12/7/2018 E Owner/Authorized Agent Signature Date (Revised 9/23/2016)