11120 EVERGREEN WAY TETOS TAQUERIA AND MARKET 2020-02-05

4riErr PLECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 11120 Evergreen Way#D BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ®COMMERCIAL USE OF BUILDING: Retail ELECTRICAL APPLICATION INFORMATION' CONTRACT PRICE OF WORK:$ 15,000.00 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES ®NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Tenant improvement for the new Mexican grocery store CONTACT INFORMATION OWNER NAME:Joyland Lodging LLC TENANT NAME(If Commercial): Teto's Taqueria&Market OWNER MAILING ADDRESS: STREET 18623 HWY 99#205 ciTy Lynnwood STATE WA ZIP 98037 OWNER PHONE: (206)949-6389 OWNER EMAIL: CONTRACTOR NAME: Prima Electric CONTRACTOR ADDRESS: STREET 8408 18th Ave W#8-105 CITY Everett STATE WA ZIP 98204 CONTRACTOR PHONE: (425)345-3428 CONTRACTOR EMAIL: primaelectric4u@gmail.com CONTRACTOR LIC.#(REQUIRED): PRIMAE*881 JL CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 045763 PRIMARY CONTACT: ❑OWNER VI CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (425)345-3428 Sung Cho CONTACT EMAIL:primaelectric4u@gmail.com AGREEMENT::I hereby certify that/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 lam 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# 067)-CP/26' E (-7 o 2-10 - wner/Authorized Agent Signature Date (Revised 923/2016)