221 SE EVERETT MALL WAY RED WING SHOES 2019-03-21

ELECTRICAL L P IT APPLICATION "41/P//AZ/f --4 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 C www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 221 SE Everett Mall Way, #M-2 BUILDING AREA(if residential,new construction, remodel,or addition) 1341 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Red Wing Store TI ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 25,000 NUMBER OF DEVICES (if low voltage): 4 lighting control units FIRE ALARM? 0 YES El NO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: Red Wing TI,add power for outlets,water tank,exhaust fan and lighting. Upsize power feeder if needed. Install customer provided lighting and controls package per plan. Install conduits and pull strings for low volt security Data and phone wiring by others. CONTACT INFORMATION OWNER NAME:Greg Chank GDG Construction LLC , TENANT NAME(If Commercial): Red Wing Shoes OWNER MAILING ADDRESS: STREET 112 VVindbrook Street PC tl STATE TX 21P r 6207 I �'ITY Denton , B OWNER PHONE: 469-559-2861 OWNER EMAIL:gchank@gdgconstruction.net CONTRACTOR NAME: Northstar Electrical, LLC CONTRACTOR ADDRESS: STREET PO Box 1909 cry Bothell STATE WA ZIP 98041 CONTRACTOR PHONE: Robert Hermes CONTRACTOR EMAIL: roberth@northstar-electriCal.com CONTRACTOR LIC.#(REQUIRED): NORTHEL878QF CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 5,2 7 101V } PRIMARY CONTACT: 0 OWNER GZ1 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-423-3606 Robert Hermes CONTACT EMAIL: roberth@northstar-eleCtrical.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 29e.200 WAC. City of Everett Official Use Only PERMIT# 1t , ti . t (i fl4 E S n- GH Owner/Au orized Agent Signature Date (Revised 9/23/2016)