500 SE EVERETT MALL WAY A BOBAKHAN TOYS AND COLLECTABLES 2019-08-23

ELECTRICAL PERMIT APPLIGATtON ClTY OF EVERETT PERMIT SERVICES � 32Q0 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov� www.everettwa.gov/permits � PROJECT SITE INFORMATION ` PROJECTADDRESS: �JOO SE EVBI"@tt M2II Way, Suite A-1 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATfACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: �COMMERCIAL usE oF�ui��iN�: Retail Toy Store . . - ; ` ; �I,E.CTRICAL APPLICATION>INFORMATION ,:. ` CONTRACT PRICE OF WORK:$ 1,250 NUMBER OF DEVICES(if low volta e): 6 FIRE ALARM? ❑YES m Na ASSOCIATED BUILDING PERMIT#(if a licable): �ESCRiPTION oF woRK: lnstall 5 low voltage Security Cameras powered by a plug-in POE Network Switch CONTACT:INFORMATION OWNER NAME: TENANT NAME(If Commercial : Bobakhall Toys OWNER MAILING ADDRESS: sTRe�r C�7y 5TATE Z1P OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: OCC PIOIIeG'C Cable COtltfaCtOCS 111C. �CQO� �ZJ� CONTRACTOR ADDRESS: sTaEer�O BOX 2868 - �m. Everett STATE WA z1P 98213 CONTRACTOR PHONE: 425-742-3976 (X 120) CONTRAC70R EMAIL: kphelpS�q OCCOt71.COI11 CONTRACTOR LIC.#(REQUIRED): OCCPIPC83OT4 CITY OF EVERETT BUSINESS LIC.#(REQU E��: 56641 PRIMARY CONTACT: [�OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: �}25-971-5279 DaVICI CONTACT EMAIL: AGREEMENT.�i hereby certify that I have read and examined fhis application and know the same fo he true and correck AIt provisions of/aws and ordinances goveming thls fype of work will be completed whether specilied herein or not. The granting of a permit does not presume fo give aufhority to violate or canceJ the provisions oiany other state or /oca!!aw regulating construction or fhe performance of construction. That I am authorized by the owner of thls property to perform the work for whlch app/ication is made and 1 comply wifh fhe State Contractors Law i8.27 RCW and 296.20o WAC. - City of Everett O�cial Use Only PERMIT# �� �-�_�g E � �C�1� D�I5 Owner/Authorized Agent Signature Date (Revised 9/23/20i6)