5209 EVERGREEN WAY GROCERY OUTLET 2020-05-08

OIL ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 5209 Evergreen way Everett, WA 98203 BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ® COMMERCIAL USE OF BUILDING: Grocery store ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 5,800.00 NUMBER OF DEVICES (if low voltage): 33 FIRE ALARM? RI YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Installation of Grocery outlet fire alarm system CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: West coast electrical services CONTRACTOR ADDRESS: STREET 12527 Mukilteo speedway suite 103 CITY Lynnwood STATE WA Zip 98087 CONTRACTOR PHONE: 425 563 9102 CONTRACTOR EMAIL: trevor@wcelectrics.com CONTRACTOR LIC.#(REQUIRED): WESTCCE897PQ CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 053544 PRIMARY CONTACT: 0 OWNER 2 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-563-9102 Trevor Kracht CONTACT EMAIL:trevor@wcelectrics.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 l comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# Owner/ orized Agent Signature Date (Revised 9/23/2016)