12906 19TH AVE SE 2019-06-06 - Laserfiche WebLink

� �_ LECTRICAL PERMIT AP�LICATION 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 I ' PROJECT SITE IN�ORMATlON PROJECT ADDRESS: 12906 •��'��LERF�r�r �jq,��j�FRi:TT,rn� n��ns � � S� BUILDING AREA (if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DEl-ACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: � COMMERCIAL USE OF BUILDING: RETAIL ELECTRICAL APPL,ICATION INFORMATION CONTRACT PRICE OF WOIRK: $ 1200 NUMBER OF DEVICES if Ic�w volta e: FIRE ALARM? ❑ YE:S 0 NO ASSOCIATED BUILDING P1=RMIT # if a licable : DESCRIPTION OF WORK: WIRE FOR MLAT MONITOR AND CHARGL'R STA'I'ION CONTACT tNF�RMATION OWNER NAME: FRED ME�rER TENANT NAME (If Commercial): OWNER MAILING ADDRESS: sTReEr 12906 BOTHEL EVERETT HWY c�n EVERETT STATE WA Z,P 98208 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: STOTJER ELECTRIC CONTRACTOR ADDRESS: sTReeT 1904 OCHOCO ��n MILWAUKIE STATE OR Z,P 97222 CONTRACTOR PHONE: 503-462-6500 CONTRACTOR EMAIL: PERMITS@S�l ONERGROUP.COM CONTRACTOR LIC. #(REQUIRE�): STONEEC322PG CITY OF EVERETT BUSINESS LIC. #(REQUIRED): Q 3 G PRIMARY CONTACT: ❑ OWIVER � CONTRACTOR ❑ OTHER (Please Specify) 039886 coNTacr NAMe: JONATHAN FRANCIS CONTACT PHONE: 503-462-5217 coNT,aCr EMai�: PERMITS@STONERGROUP.COM 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 rype of work will be comp/eted whether specified herein or not. The granting of a permit does not presume to give authority to violate or cance/ the provisions of any other state or local law regu/ating construction or the oerformance of construction. That I am authorized by the owner of this propeRy to pertorm the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. .�� �"� 5/25/16 Owner/Authorized Agent Signature Date City of Everett Official Use Only FE ��• � PERMIT # E 1�'os- � 61 (Revised 10/12/2015)