2930 MAPLE ST KAISER PERMANENTE 2018-07-18

EECTRICAL 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 I www.everettwa.gov/permits PROJECT ADDRESS: 2930 Maple Street BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED D SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Warhouse/office space `EILElCTR1c t I�1P1iL1CA +�1 # R #Tiff/#? � . „. CONTRACT PRICE OF WORK:$ 2,200 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): none DESCRIPTION OF WORK: provide power to new split system OWNER NAME: TENANT NAME(If Commercial):KaiserPermanente OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Johnson Electric CONTRACTOR ADDRESS: STREET 11816 NE 116th st ow Kirkland STATE WA ZIP 98034 CONTRACTOR PHONE: 425-821-8226 CONTRACTOR EMAIL: chrisf@johnsonelect.com CONTRACTOR LIC.#(REQUIRED): johnsei384ru CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 031435 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-864-4077 Chris Field CONTACT EMAIL:Chrisf@johnsonelectcorn AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and coned. 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 PERMIT# �.- E Il b"l-O Owner/Authorized Agent Signature Date (Revised 9/232016)