7601 EVERGREEN WAY SAFEWAY 2017-01-19

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 I FAX 425-257-8857 I (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) SF BUILDING TYPE: ❑ SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 19,000 .1y\ a0.44,i t`1/1 h ' f l 4 'W'l'L�' r1L(A LaR L NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: I NEED TO ADD (1) 200A 120/208V FEED TO THE STARBUCKS KIOSK INSIDE SAFEWAY. THIS IS AN ADDITION TO EXISTING PERMIT E1602-136 CONTACT INFORMATION OWNER NAME:SAFEWAY 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 crry KENT STATE WA zip 98032 CONTRACTOR PHONE: 253-872-5553 CONTRACTOR EMAIL:corey.mckinnon@seatacelectric.com CONTRACTOR LIC.#(REQUIRED): SEATAEI077RW CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 53530 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: NICK PROVO CONTACT PHONE:253-872-5553 CONTACT EMAIL: nick.provo@seatacelectric.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 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-t- Ice 0:)._ iign PERMIT# 3/3/2016 E l Li 0 /2- 1% Owner/Authorized •gent 'ign Date , (Revised 10/12/2015)