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 l (E)everetteps@everettwa.gov I www.everettwa.gov/permits ,'---:11:,,,,.:::„..-..-- r z... K _ .: .'7,-7.:,_ ,. PRO rE T$0 „ ° o z v PROJECT ADDRESS: 11400vergreen Way BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS; ®COMMERCIAL USE OF BUILDING: Walmart ELECT RICrt l., 1 " 1 INFORMATION 4� �. CONTRACT PRICE OF WORK:$ 250.00 NUMBER OF DEVICES Sif low voltage);_ FIRE ALARM? ❑YES .:.:PJ..NO ASSOCIATED BUILDING PERMIT#(if applicable DESCRIPTION OF WORK: Installation of one LED illuminated wall sign reading"Pickup"with spark to o CONTACT INFORMATION OWNER NAME:Walmart Real Estate TENANT NAME(If Commercla9: Walmart OWNER MAILING ADDRESS: STREET P.O. Box 8050 MS0555 Bentonville STATE AR ZIP 72712 OWNER PHONE: 800 925-6278 OWNER EMAIL: CONTRACTOR NAME: Heath Northwest CONTRACTOR ADDRESS: STREET 727 South 96th Street ,,,, Seattle STATE WA zIP 98108 CONTRACTOR PHONE: 206 623-3100 CONTRACTOR EMAIL: kirstenh@heathnorthwest.Com CONTRACTOR LIC.-#(REQUIRED) H EATH N 1981 JZ CITY OF eveag r syffi UC,ktaeoutRegot a. I , PRIMARY CONTACT: 0 OWNER ®CONTRACTOR 0 OTHER(Please Specify), CONTACT NAME: CONTACT PHONE: 206 623-3100 Kirsten Hanson CONTACT EMAIL:kirstenh . heathnorthwest.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 l 827 RCW and 296,200 WAC,: City of Everett Official Use Only � � PERMIT# � � Et oo ----(0 +.' , . r n-^)sed=.+ eti t Signaktle*':: Oats (Revised 9/2372016)