1130 SE EVERETT MALL WAY BEST BUY 2020-01-21

ELECTRICAL PERMIT & FIRE ALARM 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 OLT '►ROJECT SITE INFORMATION' PROJECT ADDRESS: 1 130 se Everett mall way PROJECT TYPE: El NEW CONSTRUCTION 111 ADDITION El TENANT IMPROVMENT ❑ REMODEL BUILDING USE: El SFR ❑TOWNHOUSE El DUPLEX ❑ADU El MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL BUILDING AREA: sq ft ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$875 ASSOCIATED BUILDING PERMIT#(if applicable): IS THIS LOW VOLTAGE WORK? El NO ✓❑YES-#OF DEVICES:2 IS THIS A FIRE ALARM PERMIT? ✓❑ NO El YES-Plans required for review(Both Electrical and Fire Department inspections are required) DESCRIPTION OF WORK & CODE COMPLIANCE DESCRIPTION OF WORK: add devices to existing security system for 2 doors IS THIS PERMIT EDUCATION, INSITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: 7 N CI YES--See Below&Pg.2 I 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. ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: ONO EYES-See Below&Pg. 3 Pursuant 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,or exemption.By checking this box, I am stating that I have completed and signed the See Page 3 AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. CONTACT INFORMATION OWNER NAME: TENANT BUSINESS NAME(If Commercial): best buy 566 OWNER MAILING ADDRESS: STREET 1130 se Everett mall way C1T,, everett STATE wa ZIP 98208 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: WHITE SECURITY SYSTEMS INC. CONTRACTOR ADDRESS: STREET12617 108TH AVE NE ciry ARLINGTON STATE WA ZIP 98223 CONTRACTOR PHONE:425-402-0366 CONTRACTOR EMAIL:WSSI@WHITESECURITY.COM CONTRACTOR LIC.#(REQUIRED):WHITESSO44JP CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 037276 PRIMARY CONTACT: E OWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME:HEATHER CONTACT PHONE:425-402-0366 CONTACT EMAIL:WSSI@WHITESECURITY.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 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# 0?)0-:- \ Owner/Authorized Agent Signature Date (Revised 11/5/2018) Page 1-Application