8530 EVERGREEN WAY STARBUCKS 2017-05-23

9LECTRICAL 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: 8530 EVERGREEN WAY BUILDING AREA(if residential, new construction, remodel, or addition) 500 SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: RETAIL ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 3100 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES Z NO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: DISC/reconnect USCan re isters ?�-01 CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): FRED MEYER OWNER MAILING ADDRESS: STREET 8530 EVERGREEN WAY CITY EVERETT STATE WA zip 98208 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: STONER ELETRIC CONTRACTOR ADDRESS: STREET 1904 OCHOCO CITY MILWAUKIE STATE OR Zip 97222 CONTRACTOR PHONE: 503-462-6500 1 CONTRACTOR EMAIL: PERMITS STONERGROUP.COM CONTRACTOR LIC.#(REQUIRED): STONEEC322PG CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 039886 PRIMARY CONTACT: ❑OWNER fZI CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: JONATHAN FRANCIS CONTACT PHONE: 503-462-5217 CONTACT EMAIL: PERMITS STONERGROUP.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/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE PERMIT# 5/3/2016 Owner/Authorized Agent Signature Date (Revised 10/12/2015)