8530 EVERGREEN WAY FRED MEYER 2017-05-23

i ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:8530 EVERGREEN 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:RETAIL STORE - FRED MEYER ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $6500 NUMBER OF DEVICES if low voltage):6 (&Ij4pu r1- FIRE ALARM? ❑YES ❑NO ASSOCIATED BUILDING PERMIT# if a licable : DESCRIPTION OF WORK: WIRE FOR REPLACEMENT AUTO DOORS, SAFE-OFF AS NEEDED i i CONTACT INFORMATION OWNER NAME: TENANT NAME(if Commercial): FRED MEYER 0095 OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:STONER ELECTRIC, INC. CONTRACTOR ADDRESS: STREET 1904 SE OCHOCO CITY MILWAUKIE STATE OR ZIP 97222 CONTRACTOR PHONE:503-462-6500 CONTRACTOR EMAIL:PERMITS@STONERGROUP.COM CONTRACTOR LIC.#(REQUIRED):STONEEC322PG CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 039886 PRIMARY CONTACT: ❑OWNER V CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:503-462-5214 DENNIS WHITCOMB CONTACT EMAIL:PERMITS@STONERGROUP.COM AGREEMENT.:Thereby certify that/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 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE PERMIT# Owner/Authorized Agent Signature Date (Revised 10/1212015)