607 SE EVERETT MALL WAY GO 2017-05-23

ELECTRICAL PERMIT APPOCATION 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 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 6O Everett Mall Way, Everett, WA 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: A- ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 1000 NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: Lighting Retrofit-7 Digilite 150 flood lights,2 175 wats MH to AG, 12 250w MH to ATG 12 40w, 1 1 L4FT Outside Lights. CONTACT INFORMATION OWNER NAME: NW Prime Properties TENANT NAME(if Commercial): � OWNER MAILING ADDRESS: STREET 6947 Coal Creek PKWY SE #69 CITYNewcastle STATE WA nP 98059 OWNER PHONE: 206-686-7900 OWNER EMAIL:n•a CONTRACTOR NAME: RVB Electric and Construction CONTRACTOR ADDRESS: .TH...2803 Grand Ave CITYEverett STATE WA zip 98208 CONTRACTOR PHONE:4253449180 CONTRACTOR EMAIL: rvbelectnc@gmail.com CONTRACTOR LIC.#(REQUIRED): RVBELVB84148 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):. jl PRIMARY CONTACT: ❑OWNER ®CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425'534.49180 Roman Boyarch CONTACT EMAIL:rvbelectric@gmaii.com AGREEMENT.-I hereby certify that 1 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 t am authorized by the owner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# o EI��z- Owner/Authorized Age' s% 6t re Date (Revised 9/23/2016)