230 W MUKILTEO BLVD LUCKY GROCERY 2017-01-13

� �_ E�LECTRICAL PERMIT AP �ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 23O W MUICIIteO BLVD BUI�DING AREA (if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX O MULTI-FAMILY -# OF UNITS: � COMMERCIAL use oF Bui��iNc: Grocery Store ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 1,000 NUMBER OF DEVICES if low volta e: � FIRE ALARM? ❑ YES � NO ASSOCIATED BUILDING PERMIT # (if applicable : DESCRIPTION OF WORK: Like in kind work- reconnecting existing circuit on the roof to new roof-top HVAC CONTACT INFORMATION owNER NAnAe: Roslyn Mukilyeo LLCLucky Grocery TENANT NAME (If Commercial : LUCky gfOCery OWNER MAILING ADDRESS: srReeT 20615 77th PL W �iTM EdmOC1dS STATE WA ziP 98026 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: PPIf118 EI@CtfiC CONTRACTOR ADDRESS: srr�eer $4�8 �$th AVe W#$-� �5 c,n Everett STATE WA ziP 98204 CONTRACTOR PHONE: 425-345-3428 CONTRACTOR EMAIL: pr1171a@I@CtfIC4U@9f11alI.COt71 coNT�►cTOR �ic. #�REQuiRE�>: PRIMAE*881 JL CITY OF EVERETT BUSINESS LIC. #(REqUIRED): O457C3 PRIMARY CONTACT: ❑ OWNER 171 CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: 425-345-3428 Sung Cho coNTacr Ennai�: primaelectric4u@gmail.com AGREEMENT: I hereby certify that I have read and examined this application and know the same to be fnfe and correct. All provisions of laws and ordinances goveming 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 w cancel the provisions of any other state or local !aw regulating construction or the performance of construction. That 1 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. Agent Signature Date City of Everett Official Use Only � PERMIT # �l 6 E E�� r o� Lt � (Revised 9/23/2016)