2810 HIGHLAND AVE 2019-11-14 - Laserfiche WebLink

ELECTRICAL PERMIT & FIRE ALARM PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 FAX 425-257-8857 1 (E)everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2810 Highland Ave. Everett WA 98201 PROJECT TYPE: [NEW CONSTRUCTION ADDITION TENANT IMPROVMENT ❑❑REMODEL BUILDING USE: ❑ SFR 0 TOWNHOUSE OIDUPLEX ❑ 'ADU ❑}MULTI-FAMILY-#OF UNITS: Ca COMMERCIAL BUILDING AREA: 4000 sq ft ELECTRICAIAPPLICATION INFORMATION CONTRACT PRICE OF WORK:$98,000 ASSOCIATED BUILDING PERMIT#(if applicable): IS THIS LOW VOLTAGE WORK? ca NO 0 YES-4 OF DEVICES: IS THIS A FIRE ALARM PERMIT? 1NO ❑ YES-Plans required for review(Both Electrical and Fire Department inspections are required) DESCRIPTION OF WORK & CODE COMPLIANCE DESCRIPTION OF WORK: Electrical SNO-PUD Service Re-Route From Overhead to Underground to supply United Rentals Rental Facility THIS SECTION APPLIES TO ALL EDUCATION,INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: [ETBy 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. ATTENTION OWNERS:THIS SECTION IS FOR OWNERS PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: 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: Calkins Revocable Trust TENANT BUSINESS NAME(If commercial): United Rentals OWNER MAILING ADDRESS: STREET 1676 ALA MOANA BLVD cm, Honolulu STATE HI ss' 96815 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Sturgeon Electric Co. CONTRACTOR ADDRESS: STREET 3902 B ST NW Suite A cr^ Auburn STATE WA98001 zr CONTRACTOR PHONE: 253-258-1736 CONTRACTOR EMAIL: eeilers{t�z�myrgroup.com CONTRACTOR LIC.#/REQUIRED): "" T OP,Cy <w `v jL.. CITY OF EVERETT BUSINESS LIC.#(REQUIRED): rJ {� PRIMARY CONTACT: ❑ OWNER I'CONTRACTOR LOT HER(Please Specify) CONTACT NAME: CONTACT PHONE: 253-258-1736 Eric Eilers CONTACT EMAIL: eeilers@myrgroup.com AGREEMENT:1 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 authorised 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 WAG_ City of Everett Official Use Only PERMIT# Eric B Eilers 11 - 6 - 18 (p Owner/Authorized Agent Signature Date (Revised 10/30/2018) Page 1 of 3