3402 MCDOUGALL AVE SNO CO FLEET OFFICE AND MAINTENANCE 2020-01-27

E CTRICAL PERMIT APPLIC- ON CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 � FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT ADDRESS: 3402 McDougall Ave BUILDING AREA: sq ft PROJECT TYPE: Cl NEW CONSTRUCTION El ADDITION ✓❑TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR El TOWNHOUSE El DUPLEX El ADU El MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL CONTRACT PRICE OF WORK:$ 7,380 ASSOCIATED BUILDING PERMIT#(If applicable): DESCRIBE SCOPE OF WORK: Disconnect existing rooftop air handling unit and provide new 200 Amp 480 Volt 3-Phase Disconnect Switch and connections to new Air Handling Unit THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO ❑✓ YES-Select Scope:❑Service ❑Feeder ❑✓ Circults-#:1 ❑ Complete Re-wire LOW VOLTAGE WORK? ❑ NO ❑YES-#of Devices: • SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑Thermostat ❑Audio ❑Secure Access ❑ Security System El Fire Alarm-Installations under this permit only include electrical wiring rough-in of the system.An additional Fire Alarm Permit is required for review of device location and installation approval. ❑Other(List All): IS THIS PERMIT EDUCATION,INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: I NO II YES--See Below&Pg.2 I 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 YOUAN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: ❑✓ NO EYES-See Below&Pg.3 I I 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 See Page 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. 3 - — - _ OWNER NAME: Snohomish County TENANT BUSINESS NAME(If Commercial): Snohomish County McDougall Shop OWNER MAILING ADDRESS: STREET 3402 McDougall Ave cm Everett STATE WA ZIP 98201 OWNER PHONE:425-388-3411 OWNER EMAIL: CONTRACTOR NAME: McKinstry Co LLC CONTRACTOR ADDRESS: sTREEr5005 3rd Ave S CITY Seattle - STATE WA Zip 98134 CONTRACTOR PHONE:206-762-3311 CONTRACTOR EMAIL:marku@mckinstry.com • CONTRACTOR LIC.#(REQUIRED):MCKINCL942DN CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 049226 • PRIMARY CONTACT: DOWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-832-8569 Mark U ndseth CONTACT EMAIL:marku@mckinstry.com AGREEMENT:t hereby certify that!have read and examined thisapplication 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 f am authorized by the owner of this property to perform the work for which application is made and l comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only ?ERMIT#: 2t27/2.019 E 1.c( 02 - 2_(3& Aut d AJ a !natty* Date (Revised 1/11/2019) Page 1-Application