11031 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 i FAX 425-257-8857 1 (E)everetteps@everettwa.gov l www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: Safeway #503 - 11031 19th Ave SE Everett, WA 98204 BUILDING AREA(if residential,new construction,remodel,or addition)dell area SF BUILDING TYPE: ❑ SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Safeway ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WOR $ 2750 NUMBER OF DEVICES if low voltage): FIRE ALARM? ❑YES R(NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: Remove power from the existing case and re-install (1) 1 Phase 40Amp power to the wing bar in the deli area CONTACT INFORMATION OWNER NAME:Safeway TENANT NAME If Commercial): Safeway#503 OWNER MAILING ADDRESS: z2,,r 11031 19th Ave SE ,r,r Everett STATE WA zip 98204 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:AC Electric Service, Inc, CONTRACTOR ADDRESS: s...804 W Meeker Street Suite 102 crry Kent STATE WA zip 98032 CONTRACTOR PHONE: (253) 852-0225 1CONTRACTOR EMAIL: ac.eleC hotmail.com _ CONTRACTOR LIC.#(REQUIRED): ACELES1025DF ICITY OF EVERETT BUSINESS LIC.#(REQUIREDI 54204 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (253) 852-0225 Kevin Lewis or Katie Johnson CONTACT EMAIL:ac.elec@hotmail.com AGREEMENT:l hereby 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 We of work will be completed whether specified herein or not. The granting of a permit does not presume to give authonty to violate or Cantel the provisions of any other state or Wel 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 t comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# OwnerfAuthorized Agent Signature 'Date {Revised 9/23/2016)