Laserfiche WebLink
EECTRICAL PERMIT API CATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:8530 EVERGREEN WAY <br /> BUILDING AREA(if residential, new construction, remodel, or addition)250 SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: m COMMERCIAL <br /> USE OF BUILDING:RETAIL <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $22,000 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES 6a NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: WIRE FOR NEW STARBUCKS KIOSK INSIDE FRED MEYER <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial): FRED MEYER <br /> OWNER MAILING ADDRESS: STREET 8530 EVERETT WAY <br /> CITY EVERETT STATE WA ZIP 98208 <br /> OWNER PHONE:425-348-8400 OWNER EMAIL: <br /> CONTRACTOR NAME:STONER ELECTRIC, INC. <br /> CONTRACTOR ADDRESS: STREET 1904 SE OCHOCO <br /> CITY MILWAUKIE STATE OR ZIP 97222 <br /> CONTRACTOR PHONE:503-462-6500 CONTRACTOR EMAIL:PERMITS@STONERGROUP.COM <br /> CONTRACTOR LIC.#(REQUIRED):STONEEC322PG CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 039886 <br /> PRIMARY CONTACT: ❑ OWNER VI CONTRACTOR ❑ OTHER (Please Specify) <br /> CONTACT NAME: CONTACT PHONE: <br /> DENNIS WHITCOMB CONTACT EMAIL:PERM ITS@STONERGROUP.COM <br /> 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 <br /> 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 <br /> 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 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> ��bao <br /> PERMIT# <br /> Dennis Whitcomb "` 3/14/16 <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />