6500 MERRILL CREEK PKY AVTECH TYEE 2020-01-30

ELECTRICAL PERMIT APPLILATION 4177. CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 (E)everetteps@everettwa.gov I www.everettwa.gov/permits ///A1 PROJECT SITE INFORMATION' '�� r � PROJECT ADDRESS: 6500 Merrill Creek Parkway Everett, WA 98203 !BUILDING AREA: 50,000 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI-FAMILY-#OF UNITS: ✓❑ COMMERCIAL % E° °' � � _ 4 4),;"4'',.",;P' 4)'>!! ESCRIPTION OF W CONTRACT PRICE OF WORK: $ 49,000 !ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Installing a 36KW, 208V Generac Generator to back up their Data Room. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO ❑ YES-Select Scope: ❑ Service 0 Feeder ❑ Circuits-#: ❑ Complete Re-wire LOW VOLTAGE WORK? ✓❑ NO ❑ YES-#of Devices: SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑ 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): / //"a / a D Ct MPLI NG ///oO� % ! <,� IS THIS PERMIT EDUCATION, INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: L 1 NO • 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: El NO EYES-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. OWNER NAME: Lynn Ishmael TENANT BUSINESS NAME(If Commercial): Avtech Tyee OWNER MAILING ADDRESS: STREET 6500 Merrill Creek Parkway CITY Everett STATE WA Z,P 98203 OWNER PHONE: 425.290.3100 OWNER EMAIL: lishmael@avtechtyee.com CONTRACTOR NAME: Communication Energy Technology Solutions, Inc. CONTRACTOR ADDRESS: STREET 1441 N Northlake Way S,T., Seattle STATE WA „P 98103 CONTRACTOR PHONE: 206.420.3261 CONTRACTOR EMAIL: Info@cetsinc.com CONTRACTOR LIC.#(REQUIRED):COMMUET854B2 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 57623 PRIMARY CONTACT: DOWNER ['CONTRACTOR ❑OTHER(Please Specify) CONTACT// NAME: CONTACT PHONE: 206.420.3261 h ` o.V) CONTACT EMAIL: fjordan@cetsinc.com AGREEMENT:I 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 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#: E q03-.° 2_9 Owner/Authorized Agit Signature Date (Revised 1/11/2019) Page 1-Application