3726 BROADWAY GATEWAY SURGICAL CENTER 2020-01-21

. 0 E TICAL PERMIT APPL N CITY OF EVERETT PERMIT SERVICE EVERETT3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits -: PROJECT' ITE INFORMAT UON. .. ,._ ,—;''s _ .` , PROJECT ADDRESS:5'7 4P Bigot 'f-'Y 5 7E 2'( E f,�210 II"' BUILDING AREA: / /(70 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION E1 TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX C ADU ❑ MULTI-FAMILY-#OF UNITS: xi COMMERCIAL ELECTRICAL APPLICATION INFORMATION INFORMATION &DESCRIPTION OF-WORK CONTRACT PRICE OF WORK: $ (V.3(, io ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: (eL106 1S-7 i NICs -c 2.±) c--r(Z D( E , /iv<TitLL '"rh}iz.ee THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? I NO ❑ YES-Select Scope: LI Service E Feeder E Circuits-#: ❑ Complete Re-wire LOW VOLTAGE WORK? ❑ NO YES-#of Devices: L SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑ Thermostat ❑Audio El Secure Access ❑ Security System NI 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. CI Other(List All): ..,COCl* COMPLIANCE IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: ❑ NO 71 YES--See Below&Pg.2 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 YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: I'1 NO DYES-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 from this licensing/certification requirement. CONTACT INFORMATION i OWNER NAME:tel iD8 ,j--r u,r( CCJ7t1Z- TENANT BUSINESS NAME(If Commercial): f I'riEw$l' St,C h izY (` T - OWNER MAILING ADDRESS: STREET 3 7 3 2- t3 iZ o/''D 4.),-)"."1 /or 5. / �,y Q p 8 CITY61/07-617- STATE W. • ZIP ( 7-0 I OWNER PHONE:lizc-37 y -$f 7/i OWNER EMAIL: 51A LL f L.4-Ai t.0 iAJ rigor r'o t."-p, GD-w. CONTRACTOR NAME: /1111" f,ge Pie©''Tee,j ems/( /NL„<. CONTRACTOR ADDRESS: STREET 30 I3 3,--0 A-v e Idoiz -d /� CITY 56 [(q - L STATE �f7• ZIP /vQ f0�j CONTRACTOR PHONE:'' '- -1-7 7-1 CONTRACTOR EMAIL: boo jd,6 c.o..u/.,9__e.c. . CONTRACTOR LIC.#(REQUIRED): Fir-F'$`-/1 N 3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 4)2:7&'/ 7 PRIMARY CONTACT: DOWNER [,CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 2601. - l /— 177-1 13o yD So erl--QGvsT CONTACT EMAIL: botjc &4.a,�,r�.Go AGREEMENT:I hereby certify that 1 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 authorized 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 WAC. City of Everett Official Use Only PERMIT#: V Li- Ow Authorized A .i9 Ag' nature Date (Revised 1/11/2019) Page 1-Application