2615 BROADWAY QFC 2017-02-27 - Laserfiche WebLink

LLECTRICAL PERMIT APF LICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2615 Broadway Ave 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: Grocery Store /E-LECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK•/$ 1,700 NUMBER OF DEVICES (if low voltage • FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 2 altered circuits for compactor and sump pump ) CONTACT INFORMATION OWNER NAME: QFC#853 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2615 Broadway Ave aTv Everett STATE WA ZIP 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: SeaTac Electric, Inc. CONTRACTOR ADDRESS: srrtEET 7056 So.220th St c,,, Kent STATE WA zip 98032 CONTRACTOR PHONE: 253-872-5553 CONTRACTOR EMAIL: dawn.lanz@seatacelectric.com CONTRACTOR LIG.#(REQUIRED): SEATAE10477RW CITY OF EVERETT BUSINESS LIC.#(REQUIRED); 53530 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) _ CONTACT NAME: CONTACT PHONE: 206-406-7741 Carlos Alegria CONTACT EMAIL: Carlos.Alegria@seatacelectric.com ( AGREEMENT:I 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 PERMIT# (01`' /4 t// ti f 3. zo/7 E 1 q0 C - cA. Owner/Authorized Agent Signature--- Date (Revised 9/23/2016)