1205 SE EVERETT MALL WAY CELL PHONE REPAIR 2018-05-23

-ECTRICAL PERMIT � LICATION 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 PROJECT SfTE' INFOI�MATIONt, PROJECTADDRESS: SE EV@f@tt MaII Way ` � �Z,p�j BUILDING AREA(if residential, new construction, remodel,or addition)1,200 SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: R2tall SpaC2 ELECTRICAL APPLtCAT10N INFORMATtON CONTRACT PRICE OF WORK: $ 2,800 NUMBER OF DEVICES(if low volta e : FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT# if applicable : DESCRIPTION OF WORK: Install (4) new outlets, relocate (1) existing outlet, relocate (2) existing lights, (1) new switch and connect to office lights, install (3) pendant lights. CONTACT INFORMATION OWNER NAME: Everett Mall LLC TENANT NAME(If Commercial): � �v � � OWNER MAILING ADDRESS: sTReeT �402 SE Everett Mall Way c,r, Everett STATE WA ziP 98208 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Kirby Electric Ina CONTRACTOR ADDRESS: sTReer 4826 B St NW#101 ci.,�, Auburn srare WA ZiP 98001 CONTRACTOR PHONE: 253-859-2000 CONTRACTOR EMAIL: vadimk@kirbyelectric.com CONTRACTOR�IC:#(REQuiRE��: KIRBYE1077BN CITY OF EVERETT BUSINESS LIC.#(REQUIR �; 041110 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 253-213-3255 Rex Collins CONTACT EMAIL: rex@kirbyelectric.com AGREEMENT.•I hereby certify that 1 have read and examined fhis application and know the same to be true and correct. A!I provisions of laws and ordinances goveming 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 ofher state or local law regulating consfruction 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 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# �._.�.�-! �,, .�-/�/ E l�b� .- �o� Owner/Authorized Agent Signature Date (Revised 9/23/2016)