2929 COLBY AVE DALALI LLC GOLDEN FLEECE 2019-09-04

`, ELECTRICAL PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 l(E)everetteps@everettwa.gov I www.everettwa.gov/permits _. ; PROJECT SiTE ltoFoRmArioN , ' ," PROJECT ADDRESS: 2929 Colby Ave BUILDING AREA: 9100 sq ft PROJECT TYPE: ❑NEW CONSTRUCTION ❑ADDITION ✓❑TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL EL ECTR$CAL-iAPPLICATION;INFORMATiON"`&-DESCRIPTION OF=WORK;. ` F xx , " CONTRACT PRICE OF WORK:$ 200.00 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Upgrading security system THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) s LINE VOLTAGE WORK? ✓❑ NO ❑YES-Select Scope: ❑ Service ❑ Feeder ❑Circuits-#: ❑Complete Re-wire LOW VOLTAGE WORK? El NO []YES-#of Devices:5 SELECT SCOPE(REQUIRED): ❑ Data ❑ illercom El The'mostat ❑Audio ❑ Secur a Access Z Security System 1 ElFire Alarm-Installations uncle-t`lis!permit only include electrical wiring rough-in of the system.An additional I Fire Alarm Permit is required for review of device location and installation approval. El Other(List All): ,__. . x:* 414 l°t <.CODE CONt1Pi;IANCE __ ._ 110.. =. IS THIS"PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: ❑ NO i YES--See Below&Pg.2 k ❑ By checking this box, I am stating that I have read and understand all of WAC 296-46B-900,selected the specific reason on page 2 of this application(see next page),AND Plan Review is NOT required because I meet all of the following sub sections that do not See Page 2 require Plan Review. Er ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: IJNO EYES-See Below&Pg.3 nPursuant to RCW 19.28.261,property owners and leaseholders cannot perform electrical work on buildings for rent,sale,or lease without the proper electrical licensing and certification,cr exemption.By checking this box, I am stating that I have completed and see Page 3 signed the AFFIDAVIT on page 3 of this application ill rero've an exemption from this licensirg/certification requirement. , _ `: t -. •r -- CONTACCrII FORMATiON ._ 2.4:, : OWNER NAME: DAP Group LLC TENANT BUSINESS NAME(If Commercial): Dalali LLC, Golden Fleece 'OWNER MAILING ADDRESS: STREET 8017 212th St SW Apt 5 CITY Edmonds STATE WA ZIP 0 026 g I OWNER PHONE: —TOWNER EMAIL ,CONTRACTOR NAME: Guardian Securrity CONTRACTOR ADDRESS: STREET1501 Kentucky Street crrr Bellingham STATE WA ZIP 98229 =CONTRACTOR PHONE:360.647.0110 lcoNTRAGIORc.MA„L,hmetour@guard ie.r:secJrity.com _ CONTRACTOR LIC.#(REQUIRED):GUARDSS233K5 It ,TY OF EVERETT BUSINESS LIC.#(REQUIRED):0033443 PRIMARY CONTACT: DOWNER ❑CONTRACTOR ❑O - - 1 ✓ EOL-ER R(�,ease Specify) E t CONTACT NAME: CCNTACT PHONE 3(30.647.0110 x328 Heidi Metour CONTACT EMAIL:!hmetour@guardianse.:urity.com AGREEMENT:I hereby certify that I have read and examined This npplicaton 9nd know the same to be true and cor.•ecf. All provisions of laws and ordinances governing this type of work will be completed whether specified herein or not. Tt A nrartirg 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. chat I am authorized by the owner of this property to perform the work for which application is made and I comply with the S Ite Contractors Law 18.27-CW and 296.200 WPC. City of Everett Official Use Only PERMIT#: _ IC, DCo- 0. 52li •w„e • o” ed Agent -I:n•ure .,Lttlr (Revue,-1/11x/11 2019) Page 1-Application 4 il