6727 EVERGREEN WAY BIG LOTS 2019-09-05

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( www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 6727 Evergreen Way BUILDING AREA(if residential,new construction,remodel,or addition)27000 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: RETAIL ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 12000 NUMBER OF DEVICES(if low voltage): 42 FIRE ALARM? ©YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: INSTALL A LOW VOLTAGE FIRE ALARM SYSTEM PER PLAN WITH SPRINKLER & DUCT DETECTOR MONITORING WITH AN NOTIFICATION THROUGHOUT. CONTACT INFORMATION OWNER NAME: MRS Inc TENANT NAME(If Commercial): BIG LOTS OWNER MAILING ADDRESS: STREET 1907 BAKER ROAD or( HIGHPOINT STATE NC zip 27263 OWNER PHONE: 336 861 1960 OWNER EMAIL: CSAUNDER@MRS1977.COM CONTRACTOR NAME: FIRE PROTECTION INC CONTRACTOR ADDRESS: STREET 1730 G I BSON ROAD c,,,. EVERETT STATE WA ZIP 98204 CONTRACTOR PHONE: 425 290 9600 CONTRACTOR EMAIL: DAVID@FPISEATTLE.COM CONTRACTOR LIC.#(REQUIRED): FIREPI*021 ML CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 038814 PRIMARY CONTACT: 0 OWNER {a CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425 290 9600 DAVID MOW CONTACT EMAIL: DAVID@FPISEATTLE.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# E --nig Owner/Authorized Agent Signature Da e (Revised 9/23/2016)