10200 19TH AVE SE 2017-06-07 - Laserfiche WebLink

ELECTRICAL 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: 10200 19th Ave SE BUILDING AREA(if residentral,new construction, remodel,or aciotion)- SF BUILDING TYPE: C3 SFR-DETACHED El SFR-ATTACHED 13 DUPLEX 13}MULTI-FAMILY-#OF UNITS, 0 COMMERCIAL USE OF BUILDING: Retail Store ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 2,600 NUMBER OF DEVICES if low voltage): FIRE ALARM? 13 YES C NO ASSOCIATED BUILDING PERMIT#(if applicable)� DESCRIPTION OF WORK: Disconnect and reconnect existing wiring to install replacement walls for Deli and Meat Walk In Coolers CONTACT INFORMATION OWNER NAME: COStCO TENANT NAME If Commercial): COSCtO OWNER MAILING ADDRESS: 10200 19th Ave SE 0- Everett ST,-F- WA 98208 OWNER PHONE: 425 379-7451 1OWNER EMAIL: CONTRACTOR NAME: Boyer Electric Company Inc CONTRACTOR ADDRESS: 8119 240th St SW Suite A Edmonds WA 98026 CONTRACTOR PHONE: 206 367-7606 CONTRACTOR EMAIL: karen@boyerelectric.com CONTRACTOR LIC.#REQUIRED)} BOYEREC101LE ICITY OF EVERETT BUSINESS LIC.#(REQUIRED: 22147 PRIMARY CONTACT; 11 OWNER 0 CONTRACTOR [I OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206 367-7606 Karen Hanson CONTACT EMAIL: karen@boyerelectric,com AGREEMENT i hereby certify that i have read and examined this application and k-f*w the same to be true and correct Ail provisions of laws and eW=riences governrog This lvpe of work wdi be comDieted 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 oval la w°regulating constru xsn or the perforr,anca of eX7r8stttiCtion That I am authorized by the owner ofthis property to perform,the work,for which application is made and! comply wdh the State Contractors Law 75 27 PCW and 296 200 WAC City of Everett Officral Use Orly 4/20/2017 ".th 4--'�qent-?' 6-- Own rl th rlzeaik5ent 96na irr Date (Revisea 9,^23/2016)