12906 19TH AVE SE 2019-06-11 - Laserfiche WebLink

LCTRICAL PERMIT APPLICATION I�'►' j-, CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 FAX 425-257-8857 f (E)everetteps@everettwa.gov f www.everettwa.gov/permits . . . .. . :. . _:.... ...:: ........ :: Q.�ECT:$ITE INFORMATION.:: . ` . .:: , -.. . .' . . PROJECT ADDRESS: 12906 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Retail !CAL APPLICATION•INFORMAtioN CONTRACT PRICE OF WO .$ 2,100 NUMBER OF DEVICES(if lo voltage): 8 FIRE ALARM? 0 YES NO ASSOCIATED BUILDING PER ' : (if cable): DESCRIPTION OF WORK: For 3 altered circuits and add 8 Low volt data chases • , CONTACT INFORMATI O N:. ::.: :: :: .: .. ..: :.. OWNER NAME: TENANT NAME(If Commercial): Fred Meyer OWNER MAILING ADDRESS: STREET 12906 Bothell Everett Hwy circ Everett STATE WA ZIP 98208 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: SeaTac Electric CONTRACTOR ADDRESS: STREET 7056 So. 220th crry Kent STATE WA ZIP 98032 CONTRACTOR PHONE: 253-872-5553 CONTRACTOR EMAIL: dawn.lanz@seatacelectric.com CONTRACTOR LIC.#(REQUIRED): SEATAE1077RW CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 033037 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 253-872-5553 Dawn Lanz CONTACT EMAIL:dawn.lanz@seatacelectric.com AGREEMENT: 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 1 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. City of Everett Official Use Only PERMIT# batuvt_ E VZOZ - 2_C (. Owner/Authorized Agent Signet re Date (Revised 9/23/2016)