7601 EVERGREEN WAY SAFEWAY 2016-08-22

CTRICAL PERMIT APJ&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 PROJECT SITE INFORMATION PROJECT ADDRESS: 7601 EVERGREEN WAY BUILDING AREA (if residential, new construction, remodel, or addition) 200 SF BUILDING TYPE: ❑ SFR -DETACHED ❑ SFR -ATTACHED ❑ DUPLEX ❑ MULTI -FAMILY - # OF UNITS: ❑✓ COMMERCIAL USE OF BUILDING: GROCERY/RETAIL ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 1000 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑ YES 0 NO ASSOCIATED BUILDING PERMIT # (if applicable): DESCRIPTION OF WORK: RE -WORK EXISTING CIRCUIT IN FLOOR J -BOX TO ACCOMODATE REFRIGERATED CASE. INCLUDE THE RELOCATION, REMOVAL AND INSTALLATION OF MISCELLANEOUS ELECTRICAL SYSTEMS PERTAINING CONTACT INFORMATION OWNER NAME: TENANT NAME (If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: SEA -TAC ELECTRIC, INC. CONTRACTOR ADDRESS: STREET 7056 S.220TH ST cln, KENT STATE WA ZIP 98032 CONTRACTOR PHONE: 253-872-5553 CONTRACTOR EMAIL: Corey. mckinnon@)seatacelectric.Com CONTRACTOR LIC. #(REQUIRED): SEATAE1077RW CITY OF EVERETT BUSINESS LIC. #(REQUIRED): 53530 PRIMARY CONTACT: ❑ OWNER 17 CONTRACTOR O OTHER (Please Specify) CONTACT NAME: NICK BAILEY CONTACT PHONE: 206-491-6490 CONTACT EMAIL: nick.balley@SeataCEleCtf'IC.COITI AGREEMENT: T hereby certify that 1 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 �'� .1�G PERMIT # i (,,)612 Agent Agent Si ature Date (Revised 10/12/2015)