515 SE EVERETT MALL WAY STARBUCKS 2017-05-03

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa gov I www everettwa gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 515 SE Everett Mall Way BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: COMMERCIAL USE OF BUILDING: Starbucks ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 2000.00 NUMBER OF DEVICES if low voltage): 3 FIRE ALARM? ❑YES O ASSOCIATED BUILDING PERMIT,l#(if applicable): DESCRIPTION OF WORK: Energy Management System, consisting of low voltage controllers for HVAC Unit and Internet CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): Starbusks#2921 OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: TLC Investments, LLC dba Stones River Electric CONTRACTOR ADDRESS: STREET 1244 Gallatin Pike South CITY Madison STATE TN Z,,37115 CONTRACTOR PHONE: 615-885-0019 CONTRACTOR EMAIL: lguye@stonesriverelectric.com CONTRACTOR LIC.#(REQUIRED): STONERE843J7 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 05S_6 4q PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 615-330-7833 Roger Edwards CONTACT EMAIL: redwards@stonesriverelectric.com AGREEMENT Thereby 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 � ob : 0 PERMIT# E ��Ol -- 031 Owner/Authorized Agent Signature Date (Revised 10/12/2015)