2916 STATE ST GRANDMAS GARDEN 2018-02-26

467.7 _ECTRICAL PERMIT AF _ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2916 State Street, Everett,Wa. 98201l04-7i BUILDING AREA(if residential, new construction, remodel, or addition) 1600 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS: El COMMERCIAL 1USE OF BUILDING: Mixed/Agriculture ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $1200.00 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES EI NO 'ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: The installation of one,277V, 15A circuit for general lighting i unit 202 ,`, CONTACT INFORMATION OWNER NAME: Mark Reichlin TENANT NAME(If Commercial): Grandma's Garden LLC OWNER MAILING ADDRESS:2916 STREET State Street CITY Everett STATE Wa ZIP 9820 OWNER PHONE:206.510.2548 OWNER EMAIL: markr@wes-construction.com CONTRACTOR NAME: Chapman Electric CONTRACTOR ADDRESS: 14955 STREET 430th Ave S.E. aTY North Bend STATE Wa ZIP 98045 CONTRACTOR PHONE: 425.890.3367 CONTRACTOR EMAIL: CJ@Chapmanelectricnw.com CONTRACTOR LIC.#(REQUIRED): CHAPME*946NW CITY OF EVERETT BUSINESS LIC.#(REQUIRED): jA.Y) 11 PRIMARY CONTACT: ❑OWNER ©CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.890.3367 C.J.Chapman CONTACT EMAIL: CJ@Chapmanelectricnw.com AGREEMENT:T 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 FEE , \ ()(A 1 "), --),___ `/� PERMIT# / E 's (,)3)— lyi /2 / •� )__________ >/ l,w4( lAut' ize ent -i at aDate (Revised 10/12/2015)