5001 EVERGREEN WAY 2019-01-29 - Laserfiche WebLink

¶LECTRICAL PERMIT APPLICATION 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.govlpermits • PROJECT SITE INFORMATION PROJECT ADDRESS: 5001 Everegreen Way, Everett WA 98203 Parcel#00581900001502&00581900001701 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: I$)COMMERCIAL USE OF BUILDING: Shell Gas Station & Food Mart ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 2,500.00 NUMBER OF DEVICES(if low voltage):N1 4 @ 60w 15v LED Drivers N2&N3 2 @ 60w 12v LED Drivers FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: N1 Wire new LED illuminated monument sign to existing electrical circuit: N21&N3 Wire 2 new 4'-0"x4'-0" LED illuminated Shell canopy signs to existing electrical: CONTACT INFORMATION OWNER NAME: Pacwest Energy LLC TENANT NAME(If Commercial): Evergreen Shell OWNER MAILING ADDRESS: STREET 3450 Commercial Ct CITY Meridian STATE ID ZIP 83642 OWNER PHONE:Joe Sacomano(253)508-9329 Territory Manager OWNER EMAIL: ioe.sacomano@jacksonenergyco.com CONTRACTOR NAME: Insignia Sign Inc. CONTRACTOR ADDRESS: smEEr PO BOX 2849 CITY Renton STATE WA zip 98056 CONTRACTOR PHONE: (425)917-2109 CONTRACTOR EMAIL: steven@insigniasign.com CONTRACTOR LIC.#(REQUIRED): INSIGSI055JS CITY OF EVERETT BUSINESS LIC.#(REQUIRED):038029 PRIMARY CONTACT: 0 OWNER ISI CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (425)917-2109 Steven Thomson @ Insignia Sign Inc. CONTACT EMAIL: steven@insigniasign.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 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 end 296.200 WAC. City of Everett Official Use Only PERMIT# I SIeoen Thioovton (Contractor&Agent) 04/04/18 E b OHLOL Owner/Authorized Agent Signature Date (Revised 9/23/2016)