10415 EVERGREEN WAY SKAYU INVESTMENTS 2017-03-01

4rE77 €CTRICAL PERMIT AF _ICATION 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: 10415 Evergreen Way BUILDING AREA(if residential, new construction, remodel, or addition) 1200SF SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: IE COMMERCIAL USE OF BUILDING: Retail Auto Sales/Offices ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 7,500.00 NUMBER OF DEVICES (if low voltage): Qty 5 Ltg Control Devices FIRE ALARM? ❑YES 121 NO By Others ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Wire 2nd Floor vacant storage space for 5 new offices to include convenience outlets, lighting, lighting controls, new HVAC equipment. Service and distribution panels are existing. CONTACT INFORMATION OWNER NAME: Dwayne Lanes Family of Auto Centers TENANT NAME(If Commercial): Dwayne Lanes Chrysler OWNER MAILING ADDRESS: STREET10510 EVERGREEN WAY ars( EVERETT STATE WA ZIP 98204 OWNER PHONE: 425-353-3855 OWNER EMAIL: tlane@dwaynelane.com CONTRACTOR NAME: R. Martin Electric, Inc CONTRACTOR ADDRESS: STREET 3615 132nd St SW Suite A c�Tv Lynnwood3615 132nd St SW Suite A STATE WA ziP 98087 CONTRACTOR PHONE: 425-742-0852 CONTRACTOR EMAIL: rick@rmartin.net CONTRACTOR LIC.#(REQUIRED): RMARTEIO8305 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 025256 PRIMARY CONTACT: ❑ OWNER El CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 0:425-742-0852 C:425-508-4830 RICK MARTIN CONTACT EMAIL: rick@rmartin.net 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 2-I -�0 PERMIT# -41S-4.< g09A/6 E ( boLf- Ow rlAuthorizecl •gent Signature Date (Revised 10/12/2015)