1806 BROADWAY MOBIL 2019-06-19 - Laserfiche WebLink

OLT !LECTRICAL PERMIT AFIRLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@meverettwa.gov l www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1806 Broadway,Everett WA 98201 Parcel#00438236402700 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: lE COMMERCIAL USE OF BUILDING: Mobil Gas Station &Food Mart ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 1,500.00 NUMBER OF DEVICES(if low voltage):®4 @ 60w 15v LED Drivers FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): ,g101.0 -0&-2...- DESCRIPTION OF WORK: ®Wire new LED gas price faces to existing electrical circuit: Wire new LED accentlighting on North,South,&East sides of canopy to existing electrical: CONTACT INFORMATION OWNER NAME: Balbir Singh TENANT NAME(If Commercial): Big J Mini Mart(Mobil) OWNER MAILING ADDRESS: STREET 16710 Smokey Point Blvd (#309) cm, Arlington STATE WA ZIP 98223 OWNER PHONE:General Manager:Brian Kooy(425)220-1009 OWNER EMAIL: brian.deltafuel@gmail.com CONTRACTOR NAME: Insignia Sign Inc. CONTRACTOR ADDRESS: STREET PO BOX 2849 CITY Renton STATE WA zp 98056 CONTRACTOR PHONE: (425)917-2109 CONTRACTOR EMAIL: Steven@insigniasign.c0m CONTRACTOR LIC.#(REQUIRED): INSIGSIO55JS CITY OF EVERETT BUSINESS LIC.#(REQUIRED):038029 PRIMARY CONTACT: ❑OWNER ISI CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (425)917-2109 Steven Thomson @ Insignia Sign Inc. CONTACT EMAIL: steven@insigniasign.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/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# clieueri WtAovlcut (Contractor&Agent) 02/28/19 E 03`\ Owner/Authorized Agent Signature Date (Revised 9/23/2016)