8530 EVERGREEN WAY FRED MEYER 2019-02-05

=E4.77- CTRICAL PERMIT API CATION 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.gov/permits "::PROJECT SITE.INFORMATION PROJECT ADDRESS: 8530 Evergreen Way BUILDING AREA(If residential,new construction,remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Retail ELECTRLCALAPP4lCATION,INFORMATION CONTRACT PRICE OF WORK:$ 1400 NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 5 altered circuits 120v • r',::.::,:`CONTACT INFORMATION OWNER NAME: Fred Meyer TENANT NAME(If Commercial): OWNER MAILING ADDRESS: smear 8530 Evergreen Way cm, Everett STATE WA zip 98208 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: SeaTac Electric, Inc. CONTRACTOR ADDRESS: STREET 7056 So 220th St car Kent STATE WA zip 98032 CONTRACTOR PHONE: 253-872-5553 CONTRACTOR EMAIL: dawn.lanz@a seatacelectric.COm CONTRACTOR LIC.#(REQUIRED): SEATAEI077RW CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 033037 PRIMARY CONTACT: DOWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 253-872-5553 Dawn Lanz CONTACT EMAIL:dawn.lanz@seatacelectric.com AGREEMENT:I hereby certify that!have read and examined this application and/mow the same to be true and correct. All provisions of laws end 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 WAG. City of Everett Official Use Only PERMIT# AAPVL 11P2 E t b- 10 5 Owner/Authorized Agent Sig e Date (Revised 9/23/2016)