8530 EVERGREEN WAY FRED MEYER 2019-09-05

)t--1grr 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: 8530 Evergreen Way Everett, WA 98208 BUILDING AREA(if residential,new construction,remodel,or addition)1000 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: I COMMERCIAL USE OF BUILDING: Grocery ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 900.00 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Install one 120V 20A circuit to accommodate the hot hold oven in the Clicklist area. CONTACT INFORMATION OWNER NAME: Kroger TENANT NAME(If Commercial): Fred Meyer OWNER MAILING ADDRESS: STREET 8530 Everegreen Way C1TY Everett STATE WA ZIP 98208 OWNER PHONE: 425-348-8400 OWNER EMAIL: CONTRACTOR NAME: Seatac Electric Inc CONTRACTOR ADDRESS: STREET 7056 S. 220th Street CITY Kent STATE WA zip 98032 CONTRACTOR PHONE: 253-872-5553 CONTRACTOR EMAIL: ebony.oneill@seatacelectric.com CONTRACTOR LIC.#(REQUIRED): seataei077rw CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 033037 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-406-9975 Dustin Russell CONTACT EMAIL: dustin.russell@seatacelectric.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# �4 � , ;4� E Owner/Authoriz'+Agent Signature Date (Revised 9/23/2016)