Laserfiche WebLink
... _ <br /> ELECTRICAL PERMIT APPLICATION <br /> #1.111PHAtt <br /> .44G"4 CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwagev I wwvv,everettwagovipermits <br /> 7'° '''''' ' '•- VP': : ''''', #:iiritteklii#ORIVIAitiAN --- '- -'Z'•--" :::::-7:ZV.:' •,' <br /> PROJECT ADDRESS: 9900 19th Ave SE Everett, WA 98208 <br /> BUILDING AREA(if residential,new construction,remodel,or addition)TI SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: fe3 COMMERCIAL <br /> USE OF BUILDING: Grocery <br /> ICAL APPVON <br /> liiOAiINFORNIA*( 4 01 <br /> *0.01 ,,.).,-viailbl- V.-..k•„:-.". -;--- - — - , , „ - ,,- , ,, , <br /> CONTRACT PRICE OF WORK: % 5,000.00 <br /> NUMBER OF DEVICES(if low •Itage): <br /> FIRE ALARM? 0 YES1,* NO ........ <br /> ASSOCIATED BUILDING PERMIT#(if applicable): ,. <br /> DESCRIPTION OF WORK: ,(2)208v 30 amp circuits for new Bakery Gases <br /> (2) 120v 20 amp circuits for case control <br /> '',-.1-totte4drelifikffitftibt(Tiotir, -., .' ..ANN ' •7-7,-`-‘' '''',' <br /> OWNER NAME:Wince 104 TENANT NAME(If Commercial): Wince 104 <br /> OWNER MAILING ADDRESS: STREET 9900 19th Ave SE <br /> ony Everett STATE WA zip 98208 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Seatac Electric Inc. <br /> CONTRACTOR ADDRESS: STREET 7056 S.220th Street <br /> cay Kent sTATe WA ZIP •:;— <br /> CONTRACTOR PHONE: (253)872-5553 CONTRACTOR EMAIL: ebony.oneill@seatacelectric. # , <br /> CONTRACTOR LIC.#(REQUIRED): Seatael077rW CITY OF EVERETT BUSINESS LIC,#(REatiltiE I):033037 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: (206)406_7741 <br /> Carlos Nog ria CONTACT EMAIL:carlosategria@seatacelectric,corn <br /> AGREEMENT:I hereby certify that I have read and examined thLs application and know the same to be true and correct. All provisions of laws and ordinances governing this type <br /> 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 <br /> local law regulating construction or the performance of construction, That.f am authorized by the owner of this property to perform the work for which application is made and i <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAG. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> E \g 12_ 05 2 <br /> 1,OwnerlAuthori .Agent Signature Date (Revised 9/23/2016) <br />