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ELECTRICAL Pf&MIT & FIRE ALARM PEIIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> ,--� 3200 CEDAR STREET, EVERETT,WA 98201 <br /> viag <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITEINFORMATION " • <br /> PROJECT ADDRESS:3003 West Casino Rd, Everett WA, 45-03 Paint Hangar Building <br /> PROJECT TYPE: 0 NEW CONSTRUCTION El ADDITION ❑TENANT IMPROVMENT ❑✓ REMODEL <br /> BUILDING USE: ❑SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ✓❑COMMERCIAL <br /> BUILDING AREA: sq ft <br /> rk .+ " r;t f v + '` ,y� ce'�' r lr lip. itti <br /> CONTRACT PRICE OF WORK:$103,263.00 ASSOCIATED BUILDING PERMIT#(if applicable): <br /> IS THIS LOW VOLTAGE WORK? ❑✓ NO ❑YES-#OF DEVICES: <br /> IS THIS A FIRE ALARM PERMIT? ❑✓ NO ❑ YES-Plans required for review(Both Electrical and Fire Department inspections are required) <br /> DESCRIPTION OF-WORK$ CODS COMPl IANCE ,. , <br /> DESCRIPTION OF WORK: Remove, re-install conduit, wire and devices to comply with the re-classification package <br /> IS THIS PERMIT EDUCATION,INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: 171 NO 11 YES--See Below&Pg.2 <br /> nBy 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 <br /> of this application(see next page),AND Plan Review is NOT required because I meet all of the following sub sections that do not <br /> See Page 2 require Plan Review. <br /> ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE:ONO OYES-See Below&Pg.3 <br /> Pursuant to RCW 19.28.261,property owners and leaseholders cannot perform electrical work on buildings for rent,sale,or lease without <br /> the proper electrical licensing and certification,or exemption.By checking this box,I am stating that I have completed and signed the <br /> See Page 3 AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. <br /> CONTACT INFORMATION <br /> OWNER NAME:The Boeing Company TENANT BUSINESS NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTREET3003 West Casino Rd <br /> cin Everett STATE WA Zip 98204 <br /> OWNER PHONE:(425) 218-1685 OWNER EMAIL:ArthUr.E.Huycke@boeing.com <br /> CONTRACTOR NAME:VECA Electric& Technologies <br /> CONTRACTOR ADDRESS: STREET561 - 7th Ave S <br /> cny Seattle STATE WA zip 98108 <br /> CONTRACTOR PHONE:2O6-436-5200 CONTRACTOR EMAIL:David.Wolf@veca.com <br /> CONTRACTOR LIC.#(REQUIRED):VECAEDI542MU CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 004945 <br /> PRIMARY CONTACT: ❑OWNER ✓0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-794-7501 <br /> Cole Gates CONTACT EMAIL:gole.gates@veca.com <br /> AGREEMENT:l 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 <br /> 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 <br /> 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 <br /> work for which application is made and l comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 161°10\--* ot-R0 <br /> _ , <br /> Owner/Authorized Agent Signatu Date (Revised 11/5/2018) Page 1-Application <br />