1802 75TH ST SW 2019-11-15 - Laserfiche WebLink

E"' ECTRICAL PERMIT APPLIfieTION EVERETT CITY OF EVERETT PERMIT SERVICE 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 )(E)everetteps®everettvv®.goy I www.everettwa.govtpermits Y _ . 11 PR * Ec ITE1 " FIs PROJECT ADDRESS 1802 75th Street SW BUILDING AREA: 5000 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT 0 REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ✓❑ COMMERCIAL ELECTRICAL PION INFORNMATI6N& DI CRI YON OrilltO K ,. CONTRACT PRICE OF WORK:$ 71579.00 ASSOCIATED BUILDING PERMIT#(if applicable): NA DESCRIBE SCOPE OF WORK: Install new 400amp, 120/240v 1p panel for new Shore power recept., install (8) shore power locations Each Location to have (2) duplex GCFI's with (1) 30amp 120v Receptacle TL. Replace (8) Existing 20amp GFCI's with new THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑NO El YES-Select Scope:❑Service 0 Feeder 0 Circuits-#:9 ❑ Complete Re-wire LOW VOLTAGE WORK? ❑✓ NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED): 0 Data 0 Intercom El Thermostat ❑Audio ❑Secure Access ❑Security System ❑ 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�A[JDOIOR�R PERSONAL E FACILITIES: �_ .. �... . . �... ACILRIES. ✓ NOr�. ..�YES --See Below&Pg. 2 By checking this box, I am stating that I have read and understand all of WAC 296-48B-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: NO OYES-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 See Page 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption Sfrom this licensing/certification requirement. ` ACI : x F { TON OWNER NAME: Snohomish CountyPUD No. 1 TENANT BUSINESS NAME If Commercla :Same OWNER MAIUNG ADDRESS: STREET P.O. Box 1107 cm, Everett STATE WA 2ip 98206-1107 OWNER PHONE:425-783-8421 OWNER EMAIL:sabasom@Snopud.Com CONTRACTOR NAME: Seahurst Electric CONTRACTOR ADDRESS: sTREET2915 Chestnut Street MY Everett STATE WA ZIP 98201 CONTRACTOR PHONE:425-258-1882 CONTRACTOR EMAIL:bwaddell@seahurst.com ......_..... CONTRACTOR LIC.#(REQUIRED):SEAHUEI09YON CITY OF EVERETT BUSINESS UC.#(REQUIRED): 18783 PRIMARY CONTACT: ❑OWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: Bill 1Na d d e l l CONTACT PHONE 425-732-9244 CONTACT EMAIL:bwaddell@seahurst.corn AGREEMENT I hereby certify that!have read and examined this application and know the same to be true and correct. All provisions of laws and ordinences 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 taw regulating construction or the performance of construction. That l am authorized by the owner of this property to perform the work for which application is made and! comply with the State Contractors Law 1827 RCW and 296_200 WAC. City of Everett Official Use Only PERMIT#: (61,. sag E \ � DCe- D16 d Agent Signature Date (Revised 1/11/2019) Page 1-Application