2615 BROADWAY QFC 2019-07-12 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION al°111111 ". CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everefteps@everettwa.gov www.everettwa.govipermits •,i4OttE411-47-:;-,' • PROJECT ADDRESS: 2615 BROADWAY 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 P77169110011111"t•TWC:Capi:':;;P:ig:114:3X4.A#0.0***1141:4,RZAZA111111011:10:':'0A CONTRACT PRICE OF WORK:$ 1200 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES El NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: WIRE FOR RECEPTACLES NEAR ENTRY DOORS A I3' OWNER NAME: TENANT NAME(If Commercial): QFC OWNER MAILING ADDRESS: gnu CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: STONER ELECTRIC, INC CONTRACTOR ADDRESS: STREET 1904 SE OCHOCO cay MILWAUKIE STATE OREGON ZIP 97222 CONTRACTOR PHONE: 5034624500 CONTRACTOR EMAIL: PERMITS(OSTONERGROUP.COM CONTRACTOR LIC.*REQUIRED): STONEREC322PG CITY OF EVERETT BUSINESS LIC.*REQUIRED):039886 PRIMARY CONTACT: DOWNER 121 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 503-462-5214 DENN IS WHITCOMB CONTACT EMAIL:PERMITS@STONERGROURCOM AGREEMENT I hereby certify that 1 have read and examined this application and know the same to be true and coned 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!em authorized by the owner of this property to perform the work for which application is made and! comply with the State Contractors Law 1817 RCW and 296.200 WAC. City of Everett Motel Use Only PERMIT# 02/20/2018 E OwnerfAuthorized Agent Signature Date (Revised 9/23/2016)