11400 EVERGREEN WAY 2019-02-06 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION sem 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 ADDRESS: 11400 HWY 99 Everett WA. 98204 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: Retail pis,. .... ...... ak xAs >,... , .o�, '`fie� ��."��_ .�+, � s� -�.-- .. ...��.,1..* CONTRACT PRICE OF WORK:$ 130,000.00 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES ®NO ASSOCIATED BUILDING PERMIT#(if applicable): O4-®''2- DESCRIPTION OF WORK: General remodel at the Walmart store OWNER NAME:Walmart TENANT NAME(If Commercial): Walmart OWNER MAILING ADDRESS: STREET 11400 HWY 99 Everett STATE WA ZIP 98204 OWNER PHONE: 425-923-1740 OWNER EMAIL: CONTRACTOR NAME: North Side Electric Inc. CONTRACTOR ADDRESS: STREET PO Box 417 cIT,, Amboy STATE WA ZIP 98601 CONTRACTOR PHONE: 360-901-5632 CONTRACTOR EMAIL: dean@northsideelec.com CONTRACTOR LIC.#(REQUIRED): NORTHSE886RR CITY OF EVERETT BUSINESS LIC.#(REQUIRED): REC#270787 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360-901-5632 Dean Cahoon CONTACT EMAIL:dean@northsideelec.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/am authorized by the owner of this property to perform the work for which application is made and comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMI # 8-31 -18 E l4 D -W5 Owner/Authorized Agent Signature Date (Revised 9/23/2016)