1010 N BROADWAY STARBUCKS 2020-01-21

MAI ELECTRICAL PERMIT APPLiC ION EVERETTCITY OF EVERETT PERMIT WA 8201 3200 CEDAR STREET,EVERETTT,, WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I wy"v.everettwa.govlpermits PROJECT SITE INFORMATION PROJECT ADDRESS: 1010 N. Broadwa Everett WA 98201 BUILDING AREA: 1t�0 sq ft PROJECT TYPE: ❑NEW CONSTRUCTION El ADDITION ©TENANT IMPROVMENT ❑REMODEL BUILDING USE: ❑SFR El TOWNHOUSE El DUPLEX ❑ADU 0 MULTI-FAMILY-#OF UNITS: ©COMMERCIAL ELECTRICAL APPLiCATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:S 1500 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Remove current bathroom wall fi ures, install new Dyson hand dryer, terminate existin• electrical outlets in restroom, install blank cover. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE:(SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ©NO El YES-Select Scope:❑Service ❑Feeder ❑Circuits-#: 0 Complete Re-wire LOW VOLTAGE WORK? ©NO El 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): CODE COMPLIANCE IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: ©NO ❑YES—See Below&Pg.2 f l 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:QNO OYES-See Below&Pg.3 fl' Pursuant to RCW 19.28.261,property owners and leaseholders cannot perform electrical work on buildings for rent,sale,or lease i 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 OWNER NAME: TENANT BUSINESS NAME(If Commercial): Starbucks#22817 OWNER MAILING ADDRESS: STREET 1010 N Broadway cm. Everett STATE WA zip 98201 OWNER PHONE:425-252-8960 _OWNER EMAIL: CONTRACTOR NAME: Mastercraft Electric, Inc. CONTRACTOR ADDRESS: STREET 206 Frontage Rd N CRY Pacific STATE WA zip 98047 CONTRACTOR PHONE:253-737-4367 CONTRACTOR EMAIL:garyd@mastercraftinc.com CONTRACTOR LIC.#(REOUIRED):MASTEEI127B8 CITY OF EVERETT BUSINESS LiC.#(REQUIRED): 055704 PRIMARY CONTACT: DOWNER ©CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-295-0089 Kim Darling CONTACT EMAIL:kimd@mastercraftinc.com AGREEMENT:I hereby certify that I have read and examined this application and know the same to be We and correct. All provisions of taws andordinances 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 canoe/the provisions of any other state o local law regulating construction or the performance of construction. That lam 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 WA C. City of Everett Official Use Only PERMIT#: ,,,.; E 0 \ _0(49 • -A•utttorized Agent Slgnatu = sate (Revised 1/1112019) Page 7-Application Scanned with CamScanner