7920 EVERGREEN WAY 2019-02-05 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits ii..�.. PROJECT ADDRESS: 7920 Evergreen Way 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: 0 COMMERCIAL USE OF BUILDING: Parking lot poles & fixtures to f nea A ,T s 6 e 3 ,a Y CONTRACT PRICE OF WORK: $ 1,000.00 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): N/A DESCRIPTION OF WORK: Install new poles and LED fixtures on existing foundations. Connect to existing circuits and controls. , u,. OWNER NAME:McDonalds TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 7920 Evergreen Way CITY Everett STATE WA Z,P 98203 OWNER PHONE: (425) 353-6267 OWNER EMAIL: CONTRACTOR NAME: Travers Sound & Telecom. Systems, Inc. (TST, Inc. dba Travers Electric) CONTRACTOR ADDRESS: STREET 122 Sturdevant Rd. CITY Chehalis STATE WA ZIP 98532 CONTRACTOR PHONE: 360-748-0059 'CONTRACTOR EMAIL: Marge@traverselectric.net _ CONTRACTOR LIC.#(REQUIRED): TRAVEST954D8 (CITY OF EVERETT BUSINESS LIC.#(REQUIREi,): !� � PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360-748-0059 Ron Travers CONTACT EMAIL:ROn@traVerSeleCtriC.net 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# E 1 - O D OwnerlAuth• zed Agent Signature Date (Revised 9/23/2016)