332 SW EVERETT MALL WAY NATIONAL GENERAL INSURANCE 2016-08-22

NECTRICAL PERMIT AP*ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits ROJECT SITE INFORMATION PROJECT ADDRESS: verett, WA BUILDING AREA(if residential, new construction, remodel, or addition) 44,000 SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ® COMMERCIAL USE OF BUILDING: Commercial Office Space ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 2,500.00 NUMBER OF DEVICES if low voltage): FIRE ALARM? ❑YES ® NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: Make-safe for upcoming TI. Demo by others. CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial):National General Insurance OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Preferred Electric CONTRACTOR ADDRESS: STREET POB X 77120 CITY Seattle STATE WA ZIP 98177 CONTRACTOR PHONE: 425.583.9662 CONTRACTOR EMAIL: Iorne referredelectric.us CONTRACTOR LIC.#(REQUIRED): PREFEEI 25PL ICITY OF EVERETT BUSINESS LIC.#(REQUIRED):047656 PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.583.9662 Lorne Wallitner CONTACT EMAIL: IOrne@preferredelectric.us AGREEMENT:T 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. City of Everett Official Use Only FEE �j - / 0 PERMIT# Owne uthorized Agent Signature Date (Revised 10/12/2015)