8530 EVERGREEN WAY FRED MEYER 2019-02-05

illIP- ELECTRICAL 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.gov/permits • �oa�:,> . ,--AWei..,.' "y .. ,��,�i, V-», ,,a. PROJECT ADDRESS: 8530 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: WI COMMERCIAL USE OF BUILDING: RETAIL yM CONTRACT PRICE OF WORK: 1000 NUMBER OF DEVICES(if low vol i:ge): 0 FIRE ALARM? 0 YES 9 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: WIRE FOR RECEPTACLE NEAR CHECKSTANDS AND DISC/RECONNECT RECEIVING DESK OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: STONER ELECTRIC, INC CONTRACTOR ADDRESS: STREET 1904 SE OCHOCO CITY MILWAUKIESTATE OREGON ZIP 97222 CONTRACTOR PHONE: 503-462-6500 CONTRACTOR EMAIL: PERMITS@STONERGROUP.COM CONTRACTOR LIC.#(REQUIRED): STONEREC322PG CITY OF EVERETT BUSINESS LIC.#(REQUIRE.): 039886 PRIMARY CONTACT: 0 OWNER ®CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 503-462-5217 SARABETH DODD CONTACT EMAIL: PERMITS@STONERGROUP.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# - 02/20/2018 E mot -203 Owner/Authorized Agent Signature Date (Revised 9/23/2016)