2525 W CASINO RD OFFICE MAX 2017-08-08

• RECTRICAL 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: 26�M W. Casino Rd. 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: Warhouse/office space ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 3,800 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES m NO ASSOCIATED BUILDING PERMIT#(if applicable): none DESCRIPTION OF WORK: Retrofit 12 2x4 fixtures to LED,Retrofit 12 high bay fixtures to LED, install 4 exit/emergency lights CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): Office Max OWNER MAILING ADDRESS: STREET CITY STATE LIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Johnson Electric CONTRACTOR ADDRESS: STREET 11816 NE 116th St CITY Kirkland STATE WA ZIP 98034 CONTRACTOR PHONE: 425-821-8226 CONTRACTOR EMAIL: chrisf@Johnsonelect.com CONTRACTOR LIC.#(REQUIRED): Johnsel384rU CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 031435 PRIMARY CONTACT: ❑ OWNER 10 CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-864-4077 Chris Field CONTACT EMAIL: Chrlsf@JohnSOnelect.com AGREEMENT.I hereby 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# Owner/Authorized Agent Signature Date (Revised 9/23/2016)