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v-avourocv. t iPti-UtittillATION <br /> PROJECT ADDRESS: 1615 75TH ST SW 'BUILDING AREA:: ag ft <br /> PROJECT TYPE: 0 NEW COSTUCTIO UADDITION0 TENANTIMPROVMENT .*0 REMODEL <br /> BUILTANG USE 0 SFR 0 TOWNHOUSE 0 DUPLEX 0 Apo MULTI•FAMILY-it OF UNITS. [7]COMMERCIAL <br /> • ELECTRICAL APPLICATION INFORMATION&DESCRIPTION OF WORK - <br /> CONTRACT PRICE OF WORK: SADO 'ASSOCIATED BUILDING PERMIT#Of applicable): <br /> DESCRIBE SCOPE OF WORK: <br /> REPLACING POLE LIGHTS WITH LED RETROFIT KITS <br /> DNS INSTALLATION INCLUDES THE FOLLOWING SCOPE:(SELECT ALL THAT APPLY) <br /> UNE VOLTAGE WORK/ el NO 0 YES-Select Scope.,0 Somme 0 Feeder 0 Circolts.4 0 ComPlata Rewe <br /> LOW VOLTAGE WORK? 0 NO 0 yEs.gar Devices: <br /> SELECT SCOPE(REOLORED):0 Data 0 asercOM 0 Thermostat 0 Aud Secure AoCeas 0 Securoci Sen <br /> 0 Firs Alarm-Instedanans under Ints pens/only Encturie Mectricef wiring rotigh.ln of die system An eddsonal <br /> Firs Alarm Permit s requited for review fa deidoe Seaton end instedetton apptevat <br /> 0 other(Lis Alt), <br /> CODE COMPLIANCE <br /> IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH ANDIOR PERSONAL CARE PAC/LYNES: 40:j NO L-1 YES-ss Sofomf&P .2 <br /> "se ay orteating due bey, ern statmg ghat I have reed and understand at of WAC 296.46B-906,selected the specific reason on Retie 2 <br /> of this application(see nest page),AND Plan Review es NOT tequited becausa I mato at of the following sub sectors that CIO hrJ. <br /> See Nur 2 require.Plan Review <br /> ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICEMIURE:1:),NO DYES-See Below A Pg.3 <br /> Pursuant to RCW TR28.281,property owners and leaseholders cannot perform electrical work on buildings toe rent,sale,or tease <br /> without the proper electrical licensing and cerldicaDon,or exemption.By checking this tot 1 ant gating that I hans completed and <br /> 3 signed the AFFIDAVIT on page 3 of Otis applicalion to recede en exemption from led acensingfeertirtedinun requitement. <br /> CONTACT INFORMATION <br /> OWNER Naar:SABEY PROPERTIES TENANT airsdiess nowt pt Commercial):EVERE, ri:c40,A <br /> OWNER MAILING ADDRESS: siner 12201 TUKWILA INTL BLVD 4TH FLOOR <br /> on SEATTLE <br /> arm-WA .;,/8168 <br /> OWNER PHONE:4 252 10244 TOWNER OPAL: <br /> CONTRACTOR NAME' CAPITAL LIGHTING <br /> CONTRACTOR ADDRESEet287 SW 4151 STREET <br /> cu v FtENTON tons WA <br /> CONTRACTOR pftoNE:4252510244 ICONTRACTOR EMAIL krtstinag@,capitaitightingwacorn <br /> CONTRACTOR LIE,sRaCtutREoIyeARTTLaral RS ICITY OF EVERETT LIC.BUSINESS SIRECUtPIED1202EQ <br /> S7).. <br /> PRIMARY CONTACT: EJOWNER itACONTRACTOR DOTHER lPtesse Soesdyt, <br /> CONTACT NAME: CONTACT RHONE:425.2510244 <br /> Knstina Goetz CONTACT EMAX:i4,,Atinagge:GAIROINghtirtiprra.adm <br /> 'AaftEEMENT:hhestey cestiee wet Paw nedetxt teen-Neel aws aretiervirep and*roe Oto sem&ez•be true orre ograftt... pxekgrons of keva arid anginergva eamtreig•ems <br /> Opt&work dee cemeWed ed Apectea terse erant The reVer4 de'voted datv eat;swam*tepee adlifever WWI:tete w=mei the powsiana mf any seer eve,ce <br /> tatwi mou•Wwm most Pte PeAVI,13S7Ve tealAbtrtitaGaft, Thuf I an fteverre:3 Or Dee:ewer ot ti*>welt, perform it*vork ft,YMCA tIppeteite made efrat <br /> awl*oath War Stew Caerritefee-..,Law 1.8. ' •MVO wAC, City at Evout Wirral use Only <br /> wA <br /> flIT <br /> Spent kS.ct <br /> 1b2_ — OS-41 <br /> Date (Reviled 112015) Pep 14kpOleetite <br /> SikerAW.•,,A <br /> %Ar iZ,Y,X4:11 Off: <br /> 2,'?,riRks7VS%:.qtr:' <br />