1605 SE EVERETT MALL WAY WALMART 2019-01-29

�—� ELECTRICAL PERMIT APPLICATION I POSb �- CITY OF EVERETT PERMIT SERVICES 1 � 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 PR EC RITE' INFORMATIOI�I. PROJECT ADDRESS: 1 605 SE Everett Mall Way SE BUILDING AREA(if residential,new construction,remodel,or addition)90000 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: El COMMERCIAL USE OF BUILDING: Retail ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 26,000.00 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES a NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Retrofit existing Flourescent Lamps and Ballasts in store with LED Lamps and Drivers CONTACT INFORMATION OWNER NAME:Wal-Mart TENANT NAME(If Commercial):Wal-Mart 3b52 OWNER MAILING ADDRESS: STREET 702 SW Eighth Street CITY Bentonville STATE AR ZIP 72716 OWNER PHONE: 479-273-4000 OWNER EMAIL: CONTRACTOR NAME: Northwest Edison CONTRACTOR ADDRESS: STREET 11807 North Creek Parkway S Suite B-103 CITY Bothell STATE WA ZIP 98011 CONTRACTOR PHONE:4255-806-9200 CONTRACTOR EMAIL: joanb@nwedison.com nwediSOn.Com CONTRACTOR LIC.#(REQUIRED): NORTHE1983RD CITY OF EVERETT BUSINESS LIC.#(REQUIRED):050699 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-806-9200 Joan Blacker CONTACT EMAIL:joanb@nwedison.Com AGREEMENT:I 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 PERMIT# 01—n 0 ) I,�'/� .1 g E1165-'t 1 tOwner/Ae. Agent Signa re Date (Revised 9/23/2016)