6502 EVERGREEN WAY ENHANCED SERVICE FACILITIES 2020-01-21

ELECTRICAL PERMIT APPLICATION viit.W.I., CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov j www.everettwa.gov/permits PROJECT ADDRESS: 6500Evergreen WY Everett, WA 98203 BUILDING AREA(if residential, new construction, remodel,or addition)15,565 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Retail &Assistgd lving\ CONTRACT PRICE OF WORK: : 168,000.00 NUMBER OF DEVICES(if low vol :ge): FIRE ALARM? ❑YES '! , C --0c Ol L-4 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Installation of electrical work for two story structure to house restaurant space(ground floor) and an enhanced service facility residential clinic(first floor). �� .0 ,,,,,,, \ . \\ � ,,,, ,i ., a phi` gi ; „ , OWNER NAME: JT Madison TENANT NAME(If Commercial): Sunrise Services, Inc. OWNER MAILING ADDRESS: STREET P.O. Box 31609 c,,, Seattle STATE WA ZIP 98103 OWNER PHONE: 206-619-5555 OWNER EMAIL: TODDMADISON@HOTMAIL.COM CONTRACTOR NAME: DUTTON ELECTRIC COMPANY, INC. CONTRACTOR ADDRESS: STREET 12407 MUKILTEO SPEEDWAY#A170 CITY LYNNWOOD STATE WA ZIP 98087 CONTRACTOR PHONE: 425-347-7600 CONTRACTOR EMAIL: CHAZE@DUTTONELECTRIC.COM CONTRACTOR LIC.#(REQUIRED): DUTTOEC137P3 CITY OF EVERETT BUSINESS LIC.#(REQUIR D): 019811 1 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-347-7600 ---2 CHAZE PRAYER CONTACT EMAIL: CHAZE@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 lam 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. City of Everett Official Use Only e.mP=tlEaRcpApYfOEvRingIdCZIEhCls tlowmeM PERMIT# CHAZE PRAY el OnNbLorCe@PORMAeAwG". 01.0975:73:31-08.00' 1/09/18 E - Fv .s S Owner/Authorized Agent Signature Date (Revised 9/23/2016)