5209 EVERGREEN WAY GROCERY OUTLET 2020-05-08

OTEETT ECTRICAL PERMIT AF LICATION 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: 5209 Evergreen Way, Everett, WA 98203 BUILDING AREA(if residential, new construction, remodel, or addition) 19777 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Retail Store ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 100,000 NUMBER OF DEVICES (if low voltage): 256 (Lighting Fixtures) + 40 (Receptacles) + 5 (Panels) = 301 FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Construct new Grocery Outlet store in empty tenant space previously utilized by a retail store. CONTACT INFORMATION OWNER NAME: Asia First Inc. TENANT NAME(If Commercial): Grocery Outlet OWNER MAILING ADDRESS: STREET 5650 Hollis Street cm, Emeryville STATE CA ZIP 94608 OWNER PHONE: (510) 704-2898 OWNER EMAIL: thaghayegh@cfgo.com CONTRACTOR NAME: A3 L-L- (dzy�T CONTRACTOR ADDRESS: STREET J\ CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: fi CONTRACTOR LIC.#(REQUIRED):ALL,CQC�91--k00N CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ® OTHER (Please Specify) Architect `_ CONTACT NAME: CONTACT PHONE: (913) 262-9095 Teresa Jones, BRR Architecture, Inc. CONTACT EMAIL: teresa.jones@brrarch.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. I ICity of Everett Official Use Only ktH PERMIT# r� — 3-$‘ E 1,o e - $,)(2.� Owner/Authorize. - t ignature Date (Revised 9/23/2016)