11400 EVERGREEN WAY 2019-02-06 - Laserfiche WebLink

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 PROJECT SITE INFORMATION PROJECT ADDRESS: 11400 HIGHWAY 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: m COMMERCIAL USE OF BUILDING: Wal-Mart-Shopping Center ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 2500.00 NUMBER OF DEVICES(if low voltage): up to 30 data cables FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Will be relocating up to 30 data cables as needed during this remodel CONTACT INFORMATION OWNER NAME:WAL-MART STORES INC TENANT NAME(If Commercial):Walmart OWNER MAILING ADDRESS: sTREEr PO BOX 8050 cny BENTONVILLE STATE AR vp 72712 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Bradley Botteron t U .C414P.f•?JrG, CONTRACTOR ADDRESS: STREET 16001 West 99th Street cn, Lenexa STATE KS zip 66219 CONTRACTOR PHONE: 913.227.3911 CONTRACTOR EMAIL: permitrequest@wachter.COm CONTRACTOR LIC.#(REQUIRED): EC WACHTI*904KL 'CITY OF EVERETT BUSINESS UC.#(REQUIRED): 043582 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 913.227.3911 Samantha Thomas CONTACT EMAIL:Te11'Mi'+'}2'ef(,Ufnsf@ ? ,[ZAh AGREEMENT::f hereby certify that I have read and examined this application and know the same to be true and correct. AR previsions of laws and ordinances governing this type of work will be completed whether specified herein or not The granting of a pennit 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 perfomr the work for which application is made and! comply with the State Contractors Law 18.27 RCW and 296100 WAC. City of Everett Official Use Only PERMIT# /l4� E 1171,0-'°1,(00Owner/Authorized Agent S re Date- r (Revised 9232016)