8530 EVERGREEN WAY FRED MEYER 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 I www.everettwa.gov/permits PROJECT ADDRESS: 8530 Evergreen Way BUILDING AREA(if residential,new construction, remodel,or addition)5000 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Retail LEc 1R AL APP1:1CAT(11�I�1 INFt'!► IIATIOI�1 ' ..,... CONTRACT PRICE OF WORK:$ 15,000 NUMBER OF DEVICES(if low vol tsge): 25 FIRE ALARM? ❑YES El NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Pull 20 data,three cameras,one speaker and one security point for new Click List area. Install all PC's.AP's,and cameras. :;CONTACT INFORMATION �:.. OWNER NAME:Fred Meyer TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Applied Technical Systems, Inc. CONTRACTOR ADDRESS: STREET 7015 SW McEwan Rd. CIT,Lake Oswego STATE OR ZIP 97035 CONTRACTOR PHONE: 5503-684-9611 CONTRACTOR EMAIL: pmalone@atsdata.com /q CONTRACTOR LIC.#(REQUIRED): APPLITS066KD CITY OF EVERETT BUSINESS LIC.#(REQUIRED):oC ! o PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Mike Hapstad CONTACT NAME: CONTACT PHONE: 360-239-1624 CONTACT EMAIL: AGREEMENT:I hereby certify that 1 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 - 093 O ••r/Authorized A.-nt Signature Date (Revised 9/23/2016)