6600 MERRILL CREEK PKY BEN SMITH 2019-02-12

477-- ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 6600 Merrill Creek Pkwy, Everett, WA 98203 Bldg A BUILDING AREA(if residential, new construction, remodel, or addition)remodel _SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: iia COMMERCIAL USE OF BUILDING: commercial ELECTRICAL APPLICATION INFORIii ;#TION CONTRACT PRICE OF WORK: $ 8,500.00 NUMBER OF DEVICES (if low voltage): 0 FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Install (1) 50A 120/208 400hz panel, (26) receptacles and wiremold. Job#1001086. i sA . !/ A44---�Y,f�i« -.41sAn n a 1I A ) r., CONTACT INFORMATION OWNER NAME:Seaway Lot 2C LLC TENANT NAME(If Commercial): Ben Smith OWNER MAILING ADDRESS: STREET PO Box 60051 c, Shoreline STATE WA ziP 98160 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Prime Electric Inc. CONTRACTOR ADDRESS: STREET 13301 SE 26th Street CITY Bellevue STATE WA ZIP 98005 CONTRACTOR PHONE: 425-747-5200 CONTRACTOR EMAIL: permits@primeelectric.com CONTRACTOR LIC.#(REQUIRED): PRIMEEI134BT CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 19946 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-429-0777 Pat Hoeper CONTACT EMAIL:phoeper@primeelectric.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. ,ADigitaity signed by Zachary Stockand %► )�i , DN. C=US, E stockand@primeelectric.com, City of Everett Official Use Only Zachary Stock ind o Prime Electric, Inc.", OU=Purchasing Assistant, PERMIT# CN=Zachary Stockand Date:2018.09.20 09:41:57-07'00' E Owner/Authorized Agent Signature Date (Revised 9/23/2016)