1001 SHUKSAN WAY 2019-04-17 - Laserfiche WebLink

ELECTRICAL PERMIT APLCATION 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: 1001 SHUKSAN 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: 0 COMMERCIAL USE OF BUILDING: FOOD SERVICES ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 989.70 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: EXTEND CIRCUITS FOR THE AMONIA ALARM ro p) 15 S CONTACT INFORMATION OWNER NAME: FOOD SERVICES OF AMERICA TENANT NAME(If Commercial): FOOD SERVICES OF AMERICA OWNER MAILING ADDRESS: STREET 1001 SHUKSAN WAY cm, EVERETT STATE WA zip 98203 OWNER PHONE: (425)407-6000 OWNER EMAIL: CONTRACTOR NAME: Dutton Electric Company, Inc. CONTRACTOR ADDRESS: STREET 12407 Mukilteo Speedway A170 cm. Lynnwood STATE WA zip 98087 CONTRACTOR PHONE: 425-347-7600 CONTRACTOR EMAIL: info@duttonelectric.com CONTRACTOR LIC.#(REQUIRED): DUTTOEC137P3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 019811 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-409-4854 BRAD MORIN CONTACT EMAIL:jnfo@duttonelectric.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 WAG. City of Everett Official Use Only PERMIT# Oe- A ,zaf = E 110** O \ OwnerlAutho"='-`.• !ent Signature Date (Revised 9123/2016)