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

4677- ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits $ PROJECT SITE INFORMATION PROJECT ADDRESS: 12906 RO» EzzzVRCTT I (ANY BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: RETAIL ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 3000 NUMBER OF DEVICES (if low voltage): 0 FIRE ALARM? 0 YES NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: WIRE FOR CORD DROP NEAR DELI AND A RECEPTACLE NEAR CHECKSTANDS CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: STONER ELECTRIC, INC CONTRACTOR ADDRESS: STREET 1904 SE OCHOCO CIN MILWAUKIE STATE OREGON ziP 97222 CONTRACTOR PHONE: 503-462-6500 CONTRACTOR EMAIL: PERMITS@STONERGROUP.COM CONTRACTOR LIC.#(REQUIRED): STONEREC322PG CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 039886 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 503-462-5217 SARABETH DODD CONTACT EMAIL: PERMITS@STONERGROUP.COM AGREEMENT:t 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 WAC. City of Everett Official Use Only PERMIT# 02/20/2018 E j (60 -- 1 C9D Owner/Authorized Agent Signature Date (Revised 9/23/2016)