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5209 EVERGREEN WAY GROCERY OUTLET 2020-05-08
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5209 EVERGREEN WAY GROCERY OUTLET 2020-05-08
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5/8/2020 7:54:56 AM
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5/8/2020 7:52:33 AM
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Address Document
Street Name
EVERGREEN WAY
Street Number
5209
Tenant Name
GROCERY OUTLET
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4253223792 Main Fax :57:29 a.m. 05-01-2018 1 /1 <br /> 071677 ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov l www.everettwa.gov/perrnits <br /> PROJECT SITE INFORMATION ;. <br /> PROJECT ADDRESS: 5209 Evergreen Way <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Grocery Store <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 25,000 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: Add new 1200a 120/208bv 3ph 4w service <br /> ,1I wr171(-/ aiU( <br /> CONTACT INFORMATION <br /> OWNER NAME:ASIA FIRST INC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 7101 MARTIN LUTHER KING JR WAY S, STE 220 <br /> Seattle STATE WA z, 98118 <br /> OWNER PHONE: OWNER EMAIL:davidychen@hotmall.conl <br /> CONTRACTOR NAME: West Coast Electrical Services <br /> CONTRACTOR ADDRESS: STREET 12527 Mukilteo Speedway#103 <br /> cm Lynnwood STATE WA zip 98087 <br /> CONTRACTOR PHONE:425-322-3189 CONTRACTOR EMAIL: kyle@wcelectrics.com <br /> CONTRACTOR LIC.#(REQUIRED): WESTCCE897PQ CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-322-3189 <br /> Kyle Adams CONTACT EMAIL:kyle@wcelectrics.com <br /> AGREEMENT:I hereby certify that I have read end examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this typo <br /> of work will be completed whether specified herein or not. The granting of a permit dons not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That/am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# 1/3 - OC)'I <br /> caner/Authorized Agent Signature Date <br /> (Revised 9/23/2016) <br />
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