2525 W CASINO RD OFFICE MAX 2016-08-01

1)0*".2,5980 ELECTRICAL PERMIT APPLICATION "417 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:2525 W.Casino Rd B UILDING AREA(if residential,new construction,remodel,or addition) 1000 SF B UILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: El COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 500 NUMBER OF DEVICES(If low voltage):2 FIRE ALARM? 0 YES El NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Install (1) 120V Quad recept. Install (2) CAT5 Data lines. CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial):Office Max OWNER MAILING ADDRESS: sneer cm STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: SEA-TAC ELECTRIC,INC. CONTRACTOR ADDRESS: STREET 7056 S.220TH ST cry KENT STATE WA zip 98032 CONTRACTOR PHONE: 253-872-5553 CONTRACTOR EMAIL:dustin.russell@seatacelectric.com CONTRACTOR LIC.#(REQUIRED): SEATAEI077RW CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 53530 PRIMARY CONTACT: D OWNER El CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: Dustin Russe[[ CONTACT PHONE:206-406-9975 CONTACT EMAIL: dustin.russell@seatacelectric.com AGREEMENT:T hereby certify that t have read and examined this application and know the same to be tare 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 lam 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 end 296.200 WAC. City of Everett Official Use Only FEE PERMIT# 6/14/2016 E'I010 "0' Owner/Authorized Agent Signature Date (Revised 10/12/2015)