8401 EVERGREEN WAY 2017-05-23 - Laserfiche WebLink

:LECTRICAL PERMIT AP; MICATIQN CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 } FAX 425-257-8857 1 (E)everetteps@everettuva.gov} www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:8401 Evergreen Way, Everett BUILDING AREA(if residential,new construction,remodel,or addition) 1000 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX C MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL uSE OF BUILDING: Gas Station/ Evergreen Shell ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 1000 NUMBER OF DEVICES if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: Lighting Retrofit CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial):Sami Said OWNER MAILING ADDRESS: STREET GTY STATE WA z,P 98208 OWNER PHONE: 4253478941 OWNER EMAIL: CONTRACTOR NAME: RVB Electric and Construction CONTRACTOR ADDRESS: STREET 1523 132nd ST SE#112 C,ry Everett STATE WA vP 98208 CONTRACTOR PHONE:4253449180 CONTRACTOR EMAIL: rv.belectric@gmaii.com CONTRACTOR LIC.#(REQUIRED): RVBELVB84148 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: 0 OWNER 14 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4253449180 Roman Boyar CONTACT EMAIL:rvbelectric@Gmail.COm AGREEMENT,t hereby certify thati 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/am authorized by the owner of this property to perform the work for which application is made and i comply with the State Contractors Caw 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# � 1 ! E r O OWnerlAitth0 ri g n ture Date (Revised 912312016)