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ELECTRICAL PERMIT & FIRE ALARM PERMIT APPLICATION <br /> CITY OF EVERE'TT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 J(E)everetteps@everettwa.gov I wvvw.everattwa.gov/perrnits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:7501 Hardman Road-Everett,WA 98203 <br /> PROJECT TYPE: El NEW CONSTRUCTION 0 ADDITION 0 TENANT1MPROVMENT 0 REMODEL <br /> BUILDING USE: 0 SFR 0 TOWNHOUSE 0 DUPLEX 0 ADO 0 MULTI-FAMILY #OF UNITS; COMMERCIAL <br /> BUILDING AREA: 26,400 sq.ft(outdoor installation) <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$500.00 „ ASSOCIATED BUILDING PERMIT#(if applicable): <br /> IS THIS LOW VOLTAGE WORK? 0 NO 0 YES-#OF DEVICE&1 oPtern oetealieed of 543 devtee <br /> IS THIS A FIRE ALARM PERMIT? El NO 0 YES-Plans required for review(Both Electrical and Fire Department inspections are required) <br /> DESCRIPTION OF WORK&CODE'COMPLIANCE <br /> DESCRIPTION OF WORK: Installation of ap wittemattecu date Controlled bv a self-contained.tlua-and-olav% <br /> low-voltage solar-dowered motor drive-,access keypadsolar-cell and battery pack,and FD access sensors. <br /> IS THIS PERMIT EDUCATION,INSITUTIONAL,HEALTH AND!OR PERSONAL CARE FACILITIES: [Z]NO 0 YES-See Below&Pg.2 <br /> DBy checking this box,I am stating that I have read and understand all of WAC 296468-900,selected the specific reason on page 2 <br /> of this application(see next page),ANI)Plan Review is NOT required because I meet all of the following subsections that do not <br /> See Page 2 require Plan Review, <br /> ARE YOU AN OWNER.PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE:01‘10 OYES-See Below&Pg,3 <br /> ri Pursuant to RCW 1928261,property owners and leaseholders cannot perform electrical work on buildings for rent sale.or lease without <br /> Lj the proper electricatlicensing and certification,or exemption.By checking this box,I am stating that I have completed and signed the <br /> see page 3 AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. <br /> CONTACT 1NFORIMA110141 <br /> OWNER NAME:Viginti Associates II,LLC TENANT BUSINESS.NAME(If Cotinnercial):Serer)Ventilation Systems <br /> OWNER MAILING AGGNEss: sTREst54i 1 South Quail Ridge Circle <br /> cm SpokaneWA <br /> STATe zip 99223 <br /> OWNER PHONE:425-443-1554 OWNER EMAIL:PSulz I @comcast.net <br /> CONTRACTOR NAME:NPR commercial ConstrUOtion.INC <br /> CONTRACTOR ADDRESS: meat PO BOX 1017 <br /> crry Lake Stevens srxre WA 98258 <br /> CONTRACTOR PHONE:425-335-1117 CONTRACTOR EMAIL:SalesIal\IPRFance-com <br /> CONTRACTOR LIC.*Roomer*NWPROPR914RO CITY OF EVERETI BUSINESS LIC.#(REOUIRED): 053780 <br /> PRIMARY CONTACT: DOWNER 2]CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: (t ,3 67.- <br /> 0,11A-kv't Atrt-LCe 05 CONTACT EMAIL: 5.aies-(p <br /> AGREElviENT:I hereby certify that I have read and examined this application and know the same to be true end correct, All provisions of taws and ordinances <br /> 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 <br /> provisions of any other state or local law regulating construction or the performance of construction. That!ern authorized by the owner of this property to perform the <br /> work for wition application is made and comply with-the State Contreetors Lew 18.27 RCW and 296100 WAC). <br /> City of Everett Official Use Only <br /> 0161/4 "—' t PERMIT# <br /> ' k E2 - 3 <br /> Owner/A Ind Agent Signature Date (Revised 11/51418) raw. ion <br />