11802 EVERGREEN WAY STARBUCKS 2017-08-10

&ECTRICAL PERMIT APACATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps a@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION I PROJECT ADDRESS: 11802 Evergreen Way i BUILDING AREA(if residential, new construction,remodel,or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Coffee Shop ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 400 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES © NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: Add (1)4'section of track utilizing existing circuit CONTACT INFORMATION OWNER NAME: Starbucks#14101 TENANT NAME if Commercial): OWNER MAILING ADDRESS: sTaeeT 11802 Evergreen Way c,T,, Everett STATE WA ziP 98208 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: SeaTac Electric CONTRACTOR ADDRESS: STREET 7056 So 220th St cfrr Kent STATE WA ziP 98032 CONTRACTOR PHONE: 253-867-2356 CONTRACTOR EMAIL: dawn.lanz@seatacelectric.com CONTRACTOR LIC.#(REQUIRED): SEATAE1077RW CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 033037 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) ____ CONTACT NAME: CONTACT PHONE; 253-867-2356 Dawn Lanz CONTACT EMAIL:dawn.lanz@seatacelectric,com AGREEMENT:t hereby certify that t 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 taw 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. 1 d City of Everett Official Use Only PERMIT# Owner/Authorized Agent Signature Date (Revised 912312016)