12906 19TH AVE SE 2020-05-18 - Laserfiche WebLink

'11:"-HAPI" ItECTRICAL PERMIT AnLICATION 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 f� Ax,.. PROJECT SITE INFORMATION PROJECT ADDRESS: 129061 Everett, WA 98208 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: 1 COMMERCIAL USE OF BUILDING: Grocery retail ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 1100.00 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES El NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Adding one 120V 20A circuit to accommodate hot hold oven in the Clicklist area. CONTACT INFORMATION OWNER NAME: Fred Meyer TENANT NAME(If Commercial): I Y OWNER MAILING ADDRESS: STREET 12906 Bothell Everett Hwy C17Y Everett STATE WA ZIP 98208 OWNER PHONE: 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: 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: 206-305-0350 Rodney Peterson CONTACT EMAIL: rodney.peterson@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 typ( 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 1 PERMIT# Owner/Authori d Agent Signature Date (Revised 9/23/2016)