8530 EVERGREEN WAY FRED MEYER 2018-01-03

�ECTRICAL PERMIT AP�ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits PRdJECT SITE INFORMATION PRo�ECT a,��Ress: 8530 EVERGRE�N WAY, EVERETT, WA 98208 BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: m COMMERCIAL USE OF BUILDING: RETAIL ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 1200 NUMBER OF DEVICES if low volta e : FIRE ALARM? ❑YES e(NO ASSOCIATED BUILDING PERMIT# if a licable): DESCRIPTION OF WORK: WIKL FOR MEAT MONITOR AND CHARG�R STA'1'ION CONTACT INFORMATION' OWNER NAME: FRED MEYER TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srReer 8530 EVERGREEN WAY ��n EVERETT STATE WA z,P 98208 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: STONER ELECTRIC CONTRACTOR ADDRESS: srREer 1904 OCHOCO ��n MILWAUKIE STATE OR Z,P 97222 CONTRACTOR PHONE: 503-462-6500 CONTRACTOR EMAIL: PERMITS@STONERGROUP.COM coNTwacTOR�ic.#�REQuiRE�>: STONEEC322PG CITY OF EVERETT BUSINESS LIC.#(REQUIRED): Q PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) 039886 coNTacT Nanne: JONATHAN FRANCIS CONTACT PHONE: 503-462-5217 coNracr eMai�: PERMITS@STONERGROUP.COM AGREEMENT:T hereby certify that 1 have read and examined this application and know the same to be frue and correct. All provisrons 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 cance/the provisions of any other state or local law regulating construction or the performance of construction. That/am authorized by the owner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE � �$• �- PERMIT# � ��_�, �� 5/25/16 � ��V✓ � ��/ �, _ -�'. Owner/Authorized Agent Signature Date (Revised 10/12/2015)